ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Crucial role of safety guidewire in transcatheter aortic valve implantation: Two cases with vascular complication [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(5): 433-436 | DOI: 10.5543/tkda.2015.34763

Crucial role of safety guidewire in transcatheter aortic valve implantation: Two cases with vascular complication

Hacı Ahmet Kasapkara1, Abdullah Nabi Aslan2, Hüseyin Ayhan1, Zeynep Şeyma Turinay1, Engin Bozkurt1
1Yıldırım Beyazıt University Faculty Of Medicine, Department Of Cardiology, Ankara
2Atatürk Education And Research Hospital, Department Of Cardiology, Ankara

Summary– Vascular complications increasing the rates of morbidity and mortality are among the most common complications observed during transcatheter aortic valve implantation (TAVI). Endovascular management is often life-saving. However, due to limitations of time in cases of iliac rupture and dissection, precautions taken prior to the procedure and the placement of safety guidewire in the contralateral femoral artery are crucial. Here, an 85-year-old woman and and 84-year-old man who had severe symptomatic aortic stenosis and underwent TAVI were presented. Although the valves were successfully implanted, the procedures were complicated by rupture and dissection of the right iliofemoral artery. With the use of safety guidewire, 2 self-expandable graft stents were inserted at the site of rupture and in the place of dissection in the iliofemoral artery, and the patients could be managed successfully.

Keywords: Endovascular management, transcatheter aortic valve implantation, safety guide-wire, vascular complications.

How to cite this article
Hacı Ahmet Kasapkara, Abdullah Nabi Aslan, Hüseyin Ayhan, Zeynep Şeyma Turinay, Engin Bozkurt. Crucial role of safety guidewire in transcatheter aortic valve implantation: Two cases with vascular complication. Turk Kardiyol Dern Ars. 2016; 44(5): 433-436

Corresponding Author: Abdullah Nabi Aslan, Türkiye
Manuscript Language: English


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