Trehan Shubam, Bector Gaurav, Singh Gurjot, Jain Aayush, Garg Nadish
Division of Cardiology, Memorial Hermann Southeast Hospital, Houston, USA.
Division of Internal Medicine, Memorial Hermann Southeast Hospital, Houston, USA.
Cureus. 2024 Jul 11;16(7):e64307. doi: 10.7759/cureus.64307. eCollection 2024 Jul.
Acute limb ischemia requires prompt diagnosis and treatment. Thromboembolic events are common, especially in patients with multiple risk factors. This case report describes a rare complication of transcatheter aortic valve replacement (TAVR) involving thromboembolic occlusion of the radial artery and highlights the risk of embolic complications during TAVR. While TAVR is minimally invasive and preferred for high-risk patients, it carries the risk of complications such as paravalvular leakage and cerebrovascular events. Prompt recognition and management are crucial. Various mechanisms, including catheter manipulation and altered hemodynamics, contribute to embolic risks during TAVR. Awareness and management of rare embolic complications during TAVR are essential. Further research is needed to prevent these complications and improve patient outcomes.
急性肢体缺血需要及时诊断和治疗。血栓栓塞事件很常见，尤其是在有多种危险因素的患者中。本病例报告描述了经导管主动脉瓣置换术（TAVR）的一种罕见并发症，即桡动脉血栓栓塞性闭塞，并强调了TAVR期间栓塞并发症的风险。虽然TAVR是微创的，且是高危患者的首选治疗方法，但它存在瓣周漏和脑血管事件等并发症的风险。及时识别和处理至关重要。包括导管操作和血流动力学改变在内的各种机制都导致了TAVR期间的栓塞风险。认识和处理TAVR期间罕见的栓塞并发症至关重要。需要进一步研究以预防这些并发症并改善患者预后。
