Percutaneous closure of femoral pseudaneurysm after TAVR.
Marco GennariGianpaolo CarrafielloGianluca PolvaniGabriele MiglioreMarco AgrifoglioPublished in: Journal of cardiac surgery (2021)
Fully percutaneous transfemoral transcatheter aortic valve replacement (TF-TAVR) is currently the standard of the catheter-based treatment of severe aortic stenosis patients. Even though experience, lower delivery catheters profile and improved vascular closure devices performances have resulted in an overall reduction of both vascular and bleeding complications after TAVR, femoral pseudoaneurysm due to incomplete local hemostasis may occur, prolonging the in-hospital length of stay, causing discomfort to the patient and potentially evolving in serious consequences affecting the outcome. We report two successful percutaneous ultrasound-guided closure of both the main and secondary femoral access pseudoaneurysm.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- ultrasound guided
- ejection fraction
- aortic valve
- aortic valve replacement
- transcatheter aortic valve implantation
- fine needle aspiration
- minimally invasive
- end stage renal disease
- newly diagnosed
- radiofrequency ablation
- healthcare
- chronic kidney disease
- prognostic factors
- left ventricular
- atrial fibrillation
- early onset
- peritoneal dialysis
- heart failure
- emergency department
- case report
- patient reported outcomes
- coronary artery disease
- adverse drug
- acute care
- endovascular treatment