Clasen, I.; Amberg, R.; Schyma, Christian; Kernbach-Wighton, G.; Doberentz, E.; Madea, B. (2015). Komplikationen beim kathetergestützten Aortenklappenersatz nach transfemoralem Zugang. Rechtsmedizin, 25(5), pp. 438-444. Springer-Medizin-Verlag 10.1007/s00194-014-1013-y
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Background
Catheter-assisted aortic valve replacement or transcatheter aortic valve implantation (TAVI) has been carried out for over 10 years. Even in the initial phases typical complications after a transfemoral approach became apparent.
Aim
This article describes how the indications for TAVI and the avoidance of complications must be checked as exemplified by four autopsy cases.
Material and methods
In the first case the iliac vessels in an 86-year-old female patient ruptured during an attempt to reposition the implanted valve. In the second case a laceration of the aorta occurred close to the original aortic valve and the 82-year-old female patient died due to pericardial tamponade. In the third case an 89-year-old woman suffered a covered laceration of the aorta and the patient died during an attempt to replace the vessel. In a further case of an 83-year-old woman during transfemoral valve replacement the positioning of the valve was unsuccessful and a second valve had to be implanted due to embolization of the unfolded valve.
Results
In all four cases the indications for TAVI in the multimorbid patients were justified. The complications were very different and in two cases assessment of the original vascular lacerations could no longer be carried out due the fact that surgery had already begun.
Conclusion
Most patients undergoing TAVI are multimorbid hence the treatment of complications becomes extremely difficult and bears a great risk of causing further complications.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Service Sector > Institute of Legal Medicine 04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Medicine |
UniBE Contributor: |
Schyma, Christian |
ISSN: |
0937-9819 |
Publisher: |
Springer-Medizin-Verlag |
Language: |
German |
Submitter: |
Antoinette Angehrn |
Date Deposited: |
01 Sep 2015 16:10 |
Last Modified: |
05 Dec 2022 14:49 |
Publisher DOI: |
10.1007/s00194-014-1013-y |
BORIS DOI: |
10.7892/boris.71379 |
URI: |
https://boris.unibe.ch/id/eprint/71379 |
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