Peripheral vascular complications during transcatheter aortic valve replacement: management and potential role of chronic steroid use.

Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-12-01 Epub Date: 2013-06-21 DOI:10.1177/1531003513491985

Marat Fudim, Kelly Daniel Green, Joseph L Fredi, Mark A Robbins, David Zhao

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引用次数: 9

Abstract

Purpose: To report a case of a major vascular complication during transcatheter aortic valve replacement (TAVR) and the endovascular management thereof. Additionally, we discuss a possible correlation with long-term steroid use.

Case report: A 79-year-old woman with a history of critical aortic stenosis underwent elective TAVR. Her procedure was complicated by rupture of her right iliac artery, life-threatening retroperitoneal hemorrhage, and thrombus extending into the distal right lower extremity. This case was emergently managed by stent placement, thrombectomy, and tissue plasminogen activator via a percutaneous approach.

Conclusions: Peripheral vascular complications are common during percutaneous TAVR, and chronic steroid use may predispose patients. Endovascular management is often possible and may potentially save valuable time in emergent situations.

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经导管主动脉瓣置换术中的周围血管并发症:管理和慢性类固醇使用的潜在作用。

目的:报告一例经导管主动脉瓣置换术(TAVR)中发生的主要血管并发症及血管内处理方法。此外，我们还讨论了与长期使用类固醇的可能相关性。病例报告:一名79岁女性，有严重主动脉狭窄病史，接受选择性TAVR。她的手术因右髂动脉破裂、危及生命的腹膜后出血和血栓延伸至右下肢远端而复杂化。该病例通过支架置入、取栓、组织纤溶酶原激活剂经皮入路紧急处理。结论:经皮TAVR术中外周血管并发症很常见，慢性类固醇使用可能使患者易感。血管内管理通常是可能的，并且可能在紧急情况下节省宝贵的时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Perspectives in vascular surgery and endovascular therapy

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