Transcatheter aortic valve replacement complications: A narrative review for emergency clinicians

Sam G. Rouleau, William J. Brady, Alex Koyfman, Brit Long

Research output: Contribution to journalReview articlepeer-review

Abstract

Introduction: Aortic valve stenosis (AS) is present in up to 10% of individuals over age 80 years. Transcatheter aortic valve replacement (TAVR) has become the most common method to replace the aortic valve in patients with AS. TAVR-related complications may occur. Objective: This narrative review evaluates the emergency department (ED) assessment and management of patients with TAVR complications. Discussion: Post-TAVR complications can be conceptualized as occurring peri-procedurally and after the peri-procedural period. Peri-procedural complications include device landing zone rupture, coronary artery obstruction, acute myocardial infarction, cardiac tamponade, and valve embolization. Complications beyond the peri-procedural window include vascular access/bleeding, mechanical valve issues, electrical conduction complications, and end-organ damage. Conclusions: Emergency clinicians are more likely to encounter TAVR complications after the initial procedural hospitalization and must be prepared to diagnose and manage these complications.

Original languageEnglish (US)
Pages (from-to)77-86
Number of pages10
JournalAmerican Journal of Emergency Medicine
Volume56
DOIs
StatePublished - Jun 2022

Keywords

  • Aortic valve
  • Cardiology
  • TAVI
  • TAVR
  • Transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Emergency Medicine

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