ArticleJACC. Case reports2025
Left Ventricle Wire Loss During TAVR: How to Solve it Through Antegrade and Retrograde Approach.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
backgroundWire loss during transcatheter aortic valve replacement (TAVR) can be troublesome. CASE SUMMARY: An 88-year-old man with aortic stenosis underwent transfemoral TAVR with a nonretrievable device. During valve insertion, the extra support wire was withdrawn from the left ventricle (LV). Attempts to recross the valve were unsuccessful. The authors performed a transseptal puncture and used a steerable introducer to cross the aortic valve antegradely with a hydrophilic wire, which was externalized to form an arteriovenous loop. A folded Balance Heavyweight wire (Abbott Vascular) was used to snare the delivery system wire into the LV and deploy the valve. DISCUSSION: Our case exemplifies several challenges that may occur during TAVR, including wire loss, and how to solve them. TAKE-HOME MESSAGES: Attention must be paid to avoid LV wire loss during TAVR. Transseptal puncture with an arteriovenous loop and snaring can be used for bailout when other techniques are unsuitable or have failed.
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