Patient in Cardiorespiratory Arrest – Is it Possible to Perform Transcatheter Aortic Valve Implantation (TAVI) in this Scenario?

Introduction

Transcatheter aortic valve implantation (TAVI) is a well-established procedure in reference centers worldwide and is currently accepted as the method of choice in high- and intermediate-risk patients. Although unusual, catastrophic complications can occur before or after its implantation, such as coronary obstruction, rupture of the aortic valve annulus, cardiac tamponade, significant perivalvular insufficiency and prosthesis embolization/displacement.

Data from a recently published North American registry showed that 1,695 patients (2.8%) undergoing TAVI required some type of mechanical circulatory support during hospitalization. It was observed that heart failure, transapical access, respiratory diseases, acute myocardial infarction, cardiorespiratory arrest (CRA) and cardiogenic shock were the factors most frequently associated with the need for mechanical circulatory support.

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