Endovascular iliac rescue technique for complete arterial avulsion after transcatheter aortic valve replacement

Transcatheter aortic valve replacement (TAVR) has emerged as an alternative therapy to open aortic valve repair for high-risk patients with aortic stenosis, but larger delivery sheath size is associated with vascular complications. We report 2 cases in which a minimally invasive technique was used for the hybrid repair of confirmed or suspected large-bore sheath traumatic avulsion (i.e., "iliac on a stick") after TAVR. We believe our hybrid approach to rescuing the iliac artery in suspected or confirmed complete artery avulsion could improve outcomes for patients who require TAVR.