A dramatic TAVR complication : God only could have predicted this !

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A dramatic TAVR complication : God only could have predicted this !

July 10, 2021 by dr s venkatesan

TAVR is a game-changing structural interventional procedure that delivers an Aortic valve percutaneously. With hardware and expertise constantly Improving, excellent outcomes are common. However, this video clip reminds us, nothing can be taken for granted in any Intervention. (Sharing a Twitter feed Courtesy Raffaele Piccolo)

Aortic Rupture resulting in fatal bleeding during TAVR #CardioTwitter @InvasiveCardiol @DLBHATTMD @PCRonline @ACCinTouch @didier_tchetche @dmylotte @drmaisano @ThomPilgrim @alaide_chief @barbanti_marco @Almanfi_Cardio @azeemlatib @nicolasdumonte1 https://t.co/hbaixe3jYj pic.twitter.com/DktyqYnHla
— Raffaele Piccolo (@piccoloraf) July 8, 2021

Why did this complication happen? Hardware, technique, or a fragile Aorta? or just bad time The fatal perforation seems to have occurred near the distal arch, with no visible signs of porcelain Aorta or gothic aortic arch. What could have been done? Could an ultra-fast deployment of a covered stent with ECMO support possible? Extremely difficult task.

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Dr.S.Venkatesan MD

Expressions in cardiology