A dramatic TAVR complication : God only could have predicted this !

TAVR is a game-changing structural interventional procedure that delivers an Aortic valve percutaneously. With hardware and expertise constantly Improving, excellent outcomes are common. However, this video clip reminds us, nothing can be taken for granted in any Intervention. (Sharing a Twitter feed Courtesy Raffaele Piccolo)

Aortic Rupture resulting in fatal bleeding during TAVR #CardioTwitter @InvasiveCardiol @DLBHATTMD @PCRonline@ACCinTouch @didier_tchetche @dmylotte @drmaisano @ThomPilgrim @alaide_chief @barbanti_marco @Almanfi_Cardio @azeemlatib @nicolasdumonte1 https://t.co/hbaixe3jYj pic.twitter.com/DktyqYnHla— Raffaele Piccolo (@piccoloraf) July 8, 2021
Why did this complication happen? Hardware, technique, or a fragile Aorta?  or just bad time  The fatal perforation seems to have occurred near the distal arch, with no visible signs of porcelain Aorta or gothic aortic arch. What could have been done? Could an ultra-fast deployment of a covered stent with ECMO support possible? Extremely difficult task.

Further reading 

Source: Dr.S.Venkatesan MD - July 10, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs