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<p>As part of a&#xa0;cardiological follow-up 3&#xa0;months after transcatheter aortic valve repair (TAVR), an 83-year-old women reported that the attempt to resume postoperative Nordic walking failed due to new unilateral intermittent claudication. Duplex sonography revealed a&#xa0;filiform stenosis at the origin of the superficial femoral artery (SFA), caused by malposition of a&#xa0;plug-based vascular closure device (VCD), hemodynamically consistent with Rutherford&#xa0;I/1. The patient’s wishes and high level of suffering justified surgical revascularization. Intraoperatively, subtotal occlusion of the SFA was confirmed by wedging the intravascular anchor of a&#xa0;MANTA VCD in the femoral bifurcation. During the postoperative course, the patient was able to resume her Nordic walking activities without any symptoms.</p>

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Einseitige Claudicatio-intermittens-Symptomatik nach transfemoraler TAVI-Prozedur

  • 期刊论文

  • 发表日期：

    2025年6月17日

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  • Jan Lukas Prüser,
  • Jörg Ukkat,
  • Martin Mühlenweg,
  • Daniel Sedding,
  • Bettina-Maria Taute

摘要

As part of a cardiological follow-up 3 months after transcatheter aortic valve repair (TAVR), an 83-year-old women reported that the attempt to resume postoperative Nordic walking failed due to new unilateral intermittent claudication. Duplex sonography revealed a filiform stenosis at the origin of the superficial femoral artery (SFA), caused by malposition of a plug-based vascular closure device (VCD), hemodynamically consistent with Rutherford I/1. The patient’s wishes and high level of suffering justified surgical revascularization. Intraoperatively, subtotal occlusion of the SFA was confirmed by wedging the intravascular anchor of a MANTA VCD in the femoral bifurcation. During the postoperative course, the patient was able to resume her Nordic walking activities without any symptoms.