Rupture of the Device Landing Zone During Transcatheter Aortic Valve Implantation

• DOI: 10.1161/circinterventions.111.967315
• Publication Date: 2012-05-16T06:13:06Z
• Authors: Miralem Pasic; Axel Unbehaun; Stephan Dreysse; Semih Buz; Thorsten Drews; Marian Kukucka; Giuseppe D'Ancona; Burkhardt Seifert; Roland Hetzer
• Keywords: Male; Cardiac Catheterization; Iatrogenic Disease; 610 Medicine & health; Hemorrhage; Prosthesis Design; 2705 Cardiology and Cardiovascular Medicine; Blood Vessel Prosthesis Implantation; 03 medical and health sciences; 0302 clinical medicine; Germany; Humans; Aorta; Retrospective Studies; Aged, 80 and over; Heart Valve Prosthesis Implantation; Suture Techniques; 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI); Aortic Valve Stenosis; 3. Good health; Treatment Outcome; Heart Injuries; Aortic Valve; Heart Valve Prosthesis; Female

Iatrogenic damage of different structures the aortic root, in region so-called "device landing zone," may occur during transcatheter valve implantation (TAVI). It is mostly considered difficult to treat or even untreatable.We performed a retrospective analysis occurrence, clinical presentation, treatment, and outcome iatrogenic rupture device zone series 618 consecutive patients who underwent TAVI at our institution between April 2008 October 2011. The incidence was 1% (6 patients). correct diagnosis established procedures 4 postmortem 2 patients. major sign apparent bleeding failure myocardial recovery after 1; it asymptomatic 1 patient. treated surgically 5 only conservatively patient without symptoms. When correctly TAVI, died (25%). overall mortality rate 50% (3 6 died).Rupture life-threatening complication that can be successfully if immediately recognized adequately managed.