Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation

Introduction: Access site vascular complications in transfemoral transcatheter aortic valve implantation (TF-TAVI) are still a major concern. Recently, a novel collagen plug based closure device (Manta) was introduced. The results from the first reports on Manta are very promising, but not much is k...

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Main Authors: Pavel Hoffmann, Ahmed Al-Ani, Thomas von Lueder, Øyvind W. Skoe, Thien T. Tran, Anders Opdahl
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:EJVES Short Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2405655318300409
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author Pavel Hoffmann
Ahmed Al-Ani
Thomas von Lueder
Øyvind W. Skoe
Thien T. Tran
Anders Opdahl
author_facet Pavel Hoffmann
Ahmed Al-Ani
Thomas von Lueder
Øyvind W. Skoe
Thien T. Tran
Anders Opdahl
author_sort Pavel Hoffmann
collection DOAJ
description Introduction: Access site vascular complications in transfemoral transcatheter aortic valve implantation (TF-TAVI) are still a major concern. Recently, a novel collagen plug based closure device (Manta) was introduced. The results from the first reports on Manta are very promising, but not much is known about the long-term patency. Report: A case of late pseudoaneurysm after access site arterial closure with Manta in TF-TAVI is described. The patient presented five weeks after left sided TF-TAVI with pain and claudication like symptoms in the left leg. CT angiography revealed a pseudoaneurysm at the puncture site. The patient was successfully treated by vascular surgery. Discussion: The results from recent peri-operative reports on the Manta vascular closure device (VCD) are promising, but not much is known about the long-term patency. In the present report a patient is described who developed a pseudoaneurysm several weeks after access site closure with Manta. To the authors’ knowledge, no such late access site complications after use of the Manta VCD have been reported previously. Keywords: TAVI, Access site closure, Manta, Pseudoaneurysm
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spelling doaj.art-33e2b7c79be9410f9493bbfc9c9efa252022-12-22T02:03:14ZengElsevierEJVES Short Reports2405-65532019-01-01423436Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve ImplantationPavel Hoffmann0Ahmed Al-Ani1Thomas von Lueder2Øyvind W. Skoe3Thien T. Tran4Anders Opdahl5Department of Cardiology, Section for Interventional Cardiology, Oslo University Hospital, Ullevål, Oslo, Norway; Corresponding author. Department of Cardiology, Section for Interventional Cardiology, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Ullevål, Oslo, Norway.Department of Cardiology, Section for Interventional Cardiology, Oslo University Hospital, Ullevål, Oslo, NorwayDepartment of Cardiology B, Oslo University Hospital, Ullevål, Oslo, NorwayDepartment of Vascular Surgery, Akershus University Hospital, Lørenskog, NorwayDepartment of Interventional Radiology, Akershus University Hospital, Lørenskog, NorwayDepartment of Cardiology, Section for Interventional Cardiology, Oslo University Hospital, Ullevål, Oslo, NorwayIntroduction: Access site vascular complications in transfemoral transcatheter aortic valve implantation (TF-TAVI) are still a major concern. Recently, a novel collagen plug based closure device (Manta) was introduced. The results from the first reports on Manta are very promising, but not much is known about the long-term patency. Report: A case of late pseudoaneurysm after access site arterial closure with Manta in TF-TAVI is described. The patient presented five weeks after left sided TF-TAVI with pain and claudication like symptoms in the left leg. CT angiography revealed a pseudoaneurysm at the puncture site. The patient was successfully treated by vascular surgery. Discussion: The results from recent peri-operative reports on the Manta vascular closure device (VCD) are promising, but not much is known about the long-term patency. In the present report a patient is described who developed a pseudoaneurysm several weeks after access site closure with Manta. To the authors’ knowledge, no such late access site complications after use of the Manta VCD have been reported previously. Keywords: TAVI, Access site closure, Manta, Pseudoaneurysmhttp://www.sciencedirect.com/science/article/pii/S2405655318300409
spellingShingle Pavel Hoffmann
Ahmed Al-Ani
Thomas von Lueder
Øyvind W. Skoe
Thien T. Tran
Anders Opdahl
Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
EJVES Short Reports
title Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
title_full Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
title_fullStr Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
title_full_unstemmed Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
title_short Late Pseudoaneurysm After Access Site Closure with Manta in Transfemoral Aortic Valve Implantation
title_sort late pseudoaneurysm after access site closure with manta in transfemoral aortic valve implantation
url http://www.sciencedirect.com/science/article/pii/S2405655318300409
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