Emergent use of retrograde left ventricular support in patients after transcatheter aortic valve replacement

Catheter Cardiovasc Interv. 2013 Aug 1;82(2):E128-32. doi: 10.1002/ccd.24583. Epub 2012 Nov 16.

Abstract

Transcatheter aortic valve replacement (TAVR) is currently a therapeutic alternative to open aortic valve replacement for high-risk patients with severe symptomatic aortic valve stenosis. The procedure is associated with some life-threatening complications including circulatory collapse which may require temporary hemodynamic support. We describe our experience with the use of the Impella 2.5 system to provide emergent left ventricular support in cases of hemodynamic collapse after TAVR with the Edwards SAPIEN prosthesis.

Keywords: Edwards SAPIEN; Impella 2.5; aortic stenosis; left ventricular assist device; transcatheter aortic valve replacement.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / therapy*
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation
  • Echocardiography, Transesophageal
  • Emergencies
  • Female
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Prosthesis Design
  • Radiography, Interventional
  • Shock / diagnosis
  • Shock / etiology
  • Shock / physiopathology
  • Shock / therapy*
  • Treatment Outcome
  • Ventricular Function, Left*