Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation

Figure 6 Post-transcatheter aortic valve implantation arterial thrombosis. Post-transcatheter aortic valve implantation procedure, digital subtraction angiography showing acute thrombotic occlusion of the right common femoral artery (A); emergency percutaneous transluminal angioplasty was performed by the crossover approach via the contralateral femoral artery, and consisted of initial thromboaspiration using a 6 F Multipurpose guiding catheter (Vista Brite Tip, Cordis Inc., Miami Lakes, FL, United States), obtaining restoration of antegrade blood flow (B); after prolonged dilations by 5.0 mm × 40 mm and 6.0 mm × 40 mm balloons (Pacific Xtreme and Admiral Xtreme, Invatec, Roncadelle, Italy), a 7.0 mm × 20 mm stent (Cristallo Ideale, Invatec, Roncadelle, Italy) was implanted, dilated by a 7.0 mm × 30 mm balloon (Avion Plus, Invatec, Roncadelle, Italy) to 10 atm. Final angiography showed the absence of residual stenosis (C).