Advertisement

Vascular Complications of TAVR

  • A. Claire Watkins
  • Anuj Gupta
  • Bartley P. Griffith
Chapter

Abstract

Risk of major vascular complications clearly depends on the access route and is reported between 5 and 16%. The evolution of delivery systems with decreasing profile size has helped significantly to reduce complications and allow more transfemoral procedures. Any unexplained tachycardia, hypotension, or anemia should raise your suspicion for an iliac or femoral injury. Vascular complications can present after surgery when patients are hypertensive or resume anticoagulation.

Keywords

Iliac artery rupture Femoral access Iliac artery dissection Acute limb ischemia 

References

  1. 1.
    Thourani VH, Kodali S, Makkar RR, Herrmann HC, Williams M, Babaliaros V, Smalling R, Lim S, Malaisrie SC, Kapadia S, Szeto WY, Greason KL, Kereiakes D, Ailawadi G, Whisenant BK, Devireddy C, Leipsic J, Hahn RT, Pibarot P, Weissman NJ, Jaber WA, Cohen DJ, Suri R, Tuzcu EM, Svensson LG, Webb JG, Moses JW, Mack MJ, Miller DC, Smith CR, Alu MC, Parvataneni R, D'Agostino RB Jr, Leon MB. Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet. 2016;387(10034):2218–25.CrossRefPubMedGoogle Scholar
  2. 2.
    Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, Tuzcu EM, Webb JG, Fontana GP, Makkar RR, Brown DL, Block PC, Guyton RA, Pichard AD, Bavaria JE, Herrmann HC, Douglas PS, Petersen JL, Akin JJ, Anderson WN, Wang D. Pocock S; PARTNER trial investigators. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363(17):1597–607.CrossRefGoogle Scholar
  3. 3.
    Manglaa A, Gupta S. Vascular complications post-transcatheter aortic valve procedures. Indian Heart J. 2016;68(5):724–31.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • A. Claire Watkins
    • 1
  • Anuj Gupta
    • 2
  • Bartley P. Griffith
    • 3
  1. 1.Department of Cardiothoracic SurgeryStanford University School of MedicineStanfordUSA
  2. 2.Division of CardiologyUniversity of Maryland, School of MedicineBaltimoreUSA
  3. 3.Division of Cardiac SurgeryUniversity of Maryland, School of MedicineBaltimoreUSA

Personalised recommendations