Management of vascular access in transcatheter aortic valve replacement: part 2: Vascular complications.
作者： Stefan Toggweiler , Jonathon Leipsic , Ronald K. Binder , Melanie Freeman , Marco Barbanti
DOI: 10.1016/J.JCIN.2013.05.004
关键词:
摘要: The interventional cardiologist must be able to recognize and manage potential vascular complications. Iliofemoral complications are the most frequent in transfemoral transcatheter aortic valve implantation. Small vessel dimensions, moderate or severe calcification, center experience major predictors. traditional treatment for injured arteries has been surgical reconstruction, but endovascular techniques may allow less invasive effective management of arterial injuries. Dissection treated with prolonged balloon inflation deployment a self-expanding balloon-expandable stent graft. rupture is serious complication that lead retroperitoneal bleeding can unrecognized. Rapid insertion dilator sheath an occlusive used achieve hemostasis. Prolonged implantation covered repair should then considered. Treatment options failed percutaneous closure include manual compression, angioplasty, implantation, surgery. Aortic rare, associated high mortality rate, even if emergent surgery performed. There specific alternative access routes such as transapical transaxillary direct access.
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