title: Percutaneous management of RetroFlex 3 balloon rupture and separation of the Edwards Sapien delivery system.
abstract: We report the case of an 85-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with use of the Edwards Sapien(®) valve system. The procedure was complicated by rupture of the valve-deployment balloon, with separation and retention of the nose cone of the RetroFlex 3(®) delivery system in the iliac artery. Our endovascular retrieval of the equipment was successful, and we achieved access-site hemostasis by deploying a covered stent. To our knowledge, this is the first report of the endovascular retrieval of a malfunctioning delivery system during transcatheter aortic valve replacement.
authors.forename: Kelly D
authors.initials: KD
authors.lastname: Green
authors.forename: Alain
authors.initials: A
authors.lastname: Waked
authors.forename: Usman
authors.initials: U
authors.lastname: Majeed
authors.forename: Marat
authors.initials: M
authors.lastname: Fudim
authors.forename: Mark A
authors.initials: MA
authors.lastname: Robbins
authors.forename: Marshall
authors.initials: M
authors.lastname: Crenshaw
authors.forename: David
authors.initials: D
authors.lastname: Zhao
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D021721:Balloon Occlusion; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D062906:Cardiac Catheters; D020878:Device Removal; D005260:Female; D016127:Heart Valve Prolapse; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries; D011475:Prosthesis Failure; D011859:Radiography; D012720:Severity of Illness Index; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000209:etiology / Q000628:therapy
keywords: Aged, 80 and over; cardiac catheterization/adverse effects; endovascular procedures/adverse effects/instrumentation; equipment failure; heart valve prosthesis implantation/adverse effects; iliac artery/injuries; treatment outcome