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Case Reports
. 2023 Aug 5;2(6Part A):101115.
doi: 10.1016/j.jscai.2023.101115. eCollection 2023 Nov-Dec.

Salvaging a Disaster: "Threading the Wrong Needle"

Affiliations
Case Reports

Salvaging a Disaster: "Threading the Wrong Needle"

Brian Cothern et al. J Soc Cardiovasc Angiogr Interv. .
No abstract available

Keywords: Impella; Intuity valve; complication; transcatheter aortic valve replacement.

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Figures

Figure 1
Figure 1
Angiography and echocardiography imaging of the case. (A) Diagnostic coronary angiogram. (B) Left anterior oblique view of the wire into the left ventricle. (C) Right anterior oblique view after the Impella was placed into the left ventricle via the paravalvular channel. (D) Final angiogram after percutaneous coronary intervention. (E) Transesophageal echocardiogram showing severe aortic insufficiency after removal of Impella. (F) Transesophageal echocardiogram after valve-in-valve implant. (G) Aortic root angiography showing minimal aortic insufficiency.

References

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    1. Philipson D.J., Cohen D.J., Fonarow G.C., Ziaeian B. Analysis of adverse events related to Impella usage (from the Manufacturer and User Facility Device Experience and National Inpatient Sample Databases) Am J Cardiol. 2021;140:91–94. doi: 10.1016/j.amjcard.2020.10.056. - DOI - PMC - PubMed
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    1. Naqvi S.Y., Jain H., Prasad S., Stuver T. Management of paravalvular leak after rapid deployment Edwards Intuity elite valve. J Am Coll Cardiol Intv. 2019;12(5):e39–e40. doi: 10.1016/j.jcin.2018.12.023. - DOI - PubMed

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