TY  - BOOK
AU  - Ben-Dor, Itsik
AU  - Rogers, Toby
AU  - Satler, Lowell F
AU  - Waksman, Ron
TI  - A word of caution using self-expanding transcatheter aortic valve-frame infolding
SN  - 1522-1946
PY  - 2019///
KW  - *Aortic Valve Insufficiency/et [Etiology]
KW  - *Aortic Valve Stenosis/su [Surgery]
KW  - *Aortic Valve/su [Surgery]
KW  - *Heart Valve Prosthesis
KW  - *Prosthesis Failure
KW  - *Transcatheter Aortic Valve Replacement/ae [Adverse Effects]
KW  - *Transcatheter Aortic Valve Replacement/is [Instrumentation]
KW  - Aged
KW  - Alloys
KW  - Aortic Valve Insufficiency/dg [Diagnostic Imaging]
KW  - Aortic Valve Insufficiency/pp [Physiopathology]
KW  - Aortic Valve Insufficiency/th [Therapy]
KW  - Aortic Valve Stenosis/dg [Diagnostic Imaging]
KW  - Aortic Valve Stenosis/pp [Physiopathology]
KW  - Aortic Valve/dg [Diagnostic Imaging]
KW  - Aortic Valve/pp [Physiopathology]
KW  - Balloon Valvuloplasty
KW  - Female
KW  - Hemodynamics
KW  - Humans
KW  - Prosthesis Design
KW  - Recovery of Function
KW  - Severity of Illness Index
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - Case Reports
N1  - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
N2  - Copyright (c) 2018 Wiley Periodicals, Inc; Transcatheter aortic valve replacement has become a mainstay alternative to surgical aortic valve replacement in patients with severe aortic stenosis at high and intermediate surgical risk. Two commercially approved valves are available in the United States: balloon-expandable and self-expanding. We report here a rare complication of a self-expanding Evolut PRO (Medtronic, Minneapolis, Minnesota) valve failing to expand due to nitinol frame infolding. This results in a malopposed valve with a severe paravalvular leak, even though treated successfully with balloon valvuloplasty. It is important to recognize the characteristic angiographic signature of this complication-the "straight line" sign-and how to avoid this potentially serious complication by balloon valvuloplasty or by recapture and deployment of a new valve
UR  - https://dx.doi.org/10.1002/ccd.27870
ER  -