title: Endovascular iliac rescue technique for complete arterial avulsion after transcatheter aortic valve replacement.
abstract: Transcatheter aortic valve replacement (TAVR) has emerged as an alternative therapy to open aortic valve repair for high-risk patients with aortic stenosis, but larger delivery sheath size is associated with vascular complications. We report 2 cases in which a minimally invasive technique was used for the hybrid repair of confirmed or suspected large-bore sheath traumatic avulsion (i.e., "iliac on a stick") after TAVR. We believe our hybrid approach to rescuing the iliac artery in suspected or confirmed complete artery avulsion could improve outcomes for patients who require TAVR.
authors.affiliation: Division of Cardiology and Cardiovascular Surgery, Texas Heart Institute, Houston, Texas.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Obon-Dent
authors.forename: Ross M
authors.initials: RM
authors.lastname: Reul
authors.forename: Ali
authors.initials: A
authors.lastname: Mortazavi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: arterial avulsion; endovascular revascularization; hybrid revascularization; transcatheter aortic valve implantation; transcatheter aortic valve replacement