Skip to main content
. Author manuscript; available in PMC: 2016 Mar 1.
Published in final edited form as: JACC Cardiovasc Imaging. 2015 Mar;8(3):288–318. doi: 10.1016/j.jcmg.2014.12.013

Table 1. Intraprocedural Complications Reported in the PARTNER Database (N = 527).

Failure to implant:
  1. Secondary to superior motion of balloon during BAV in setting of large sigmoid septum

1 (0.2%)
Balloon aortic valvuloplasty complications
  1. Severe aortic regurgitation: stuck or avulsed valve

  2. Aortic trauma

3 (0.6%)
Acute hemodynamic compromise
  1. LV collapse (expired)

  2. RV standstill (expired)

Left ventricle = 5 (1%)
Right ventricle = 1 (0.2%)
Malposition
  1. Requiring surgical bailout (too low) or valve-in-valve procedure

  2. Embolization:

    1. Into aorta: due to loss of pacing capture (n = 1)

    2. Into left ventricle (n = 1)

Surgical bail-out = 2 (0.4%)
Valve-in-valve = 2 (0.4%)
Aortic complications
  1. Aortic dissection (proximal) caused by embolization of first valve

  2. Aortic annular rupture

  3. Descending aortic rupture

  4. Periaortic hematoma

    1. With RCA compression

    2. With no hemodynamic consequence

Dissection 2 (0.4%)
Annular rupture = 3 (0.6%)
Periaortic hematoma = 3 (0.6%)
Descending aorta rupture = 1 (0.2%)
Significant aortic regurgitation
  1. Severe central AR

    1. Pst-BAV

    2. Post-THV (malposition, stuck cusp)

  2. Severe paravalvular AR

    1. Treated with post-dilation

    2. Treated with valve-in-valve procedure (n = 5)

Severe central AR in THV = 2 (0.4%)
BAV complication = 3 (0.6%)
Valve-in-valve procedure = 5 (1%)
Bleeding/pericardial effusion
  1. Post transapical TAVR

    1. At cannulation site

    2. Adjacent to cannulation site

    3. Hemorrhagic pleural effusion (requiring pleurodesis)

  2. Pacemaker perforation

  3. LV or RV tear

  4. Post-BAV after chest compressions

Apical bleeding = 2 (0.4%)
RV cannulated = 1 (0.2%)
Pacemaker = 2 (0.4%)
LV perforation = 3 (0.6%)
BAV CPR = 1 (0.2%)
Fistulas
  1. Aorta-to-right atrium fistula

  2. Membranous VSD

3 (0.6%)
Coronary occlusion
  1. RCA (due to periaortic hematoma)

  2. Left main occlusion

  3. Post-transapical cannulation (distal LAD)

3 (0.6%)
Mitral valve regurgitation (acute)
  1. Mitral valve cusp perforation

  2. Wire entanglement

1 (0.2%)
Total 49 (9.3%)

Values are n (%).

AR = aortic regurgitation; BAV = balloon aortic valvuloplasty; CPR = cardiopulmonary resuscitation; LAD = left anterior descending coronary artery; LV = left ventricular; PARTNER = Placement of Aortic Transcatheter Valves; RCA = right coronary artery; RV = right ventricular; TAVR = transcatheter aortic valve replacement; THV = transcatheter heart valve; VSD = ventricular septal defect.