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Long term follow-up after balloon expandable covered stents implantation for management of transcatheter aortic valve replacement related vascular access complications

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Maurina M
  • Condello F
  • Mangieri A
  • Stefanini GG
  • Bongiovanni D
  • Cozzi O
  • Leone PP
  • Baggio S
  • Gasparini G
  • Pagnotta P
  • Civilini E
  • Colombo A
  • Reimers B
  • Regazzoli D

Grupos

Abstract

Objectives To report the experience of a high-volume center with balloon-expandable (BE) stents implantation to manage vascular complications after transcatheter aortic valve replacement (TAVR). Background Despite increased operator experience and better devices, vascular complications after TAVR are still a major issue and covered stent implantation is often required. Methods We retrospectively collected baseline and procedural data about 78 consecutive patients who underwent BE stent implantation to manage a vascular complication after transfemoral TAVR. Primary endpoints were technical success, incidence of new-onset claudication and need for vascular interventions during long-term follow-up. Secondary endpoints included length of hospitalization, in-hospital and 30-day mortality, and major postoperative complications. Results BE stents implantation to manage vascular complications after TAVR was successfully performed in 96.2% of the cases, with bailout surgery required in two cases. One patient suffered in-hospital death. Predischarge Doppler Ultrasound revealed no cases of in-stent occlusion or fracture. At a median follow-up of 429 days (interquartile range, 89-994 days), no cases of symptomatic leg ischemia were reported and only one patient experienced new-onset claudication. Conclusions Our experience showed good periprocedural and long-term results of BE covered stent implantation to manage vascular complication after TAVR. Their great radial outward force may guarantee effective hemostasis without necessarily being associated with stent deformation/fracture resulting in restenosis or further interventions. More research is needed to define the role of BE covered stents in this setting.

© 2022 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.

Datos de la publicación

ISSN/ISSNe:
1522-1946, 1522-726X

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS  John Wiley & Sons Inc.

Tipo:
Article
Páginas:
903-909
Factor de Impacto:
1,088 SCImago ℠
Cuartil:
Q1 SCImago ℠

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Keywords

  • balloon expandable covered stent; TAVR; Vascular complications

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