An Unusual Femoral Sheath Severing with Successful Recapture: A Case Report

نویسندگان

چکیده

This study presents a case of successful severed femoral sheath recapture during transfemoral transcatheter aortic valve replacement (TAVR). During skin tunneling with scalpel, the discontinuity occurred. Grasping distal surgical hemostat was attempted unsuccessfully. A proximal part removed and Medtronic Sentrant introducer (14 French) then placed over existing Confida wire which permanently remained in position, followed by introduction Amplatz Left 2 (AL2) catheter pushed ascending aorta wire. The crucial maneuver entanglement non-coronary cusp allowed for its entrapment AL2 catheter. coronary guidewire BMW Universal (0.014”) placement slow balloon retrieval (SeQuent NEO 2.5 x 25 mm) into sheath. guidewire/balloon exchanged support (0.035”) removal sheath, In conclusion, severing is complex accidental event TAVR, can be solved intra-aortic retraction.

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ژورنال

عنوان ژورنال: Reports

سال: 2021

ISSN: ['2571-841X']

DOI: https://doi.org/10.3390/reports4040034