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Although vascular complications have decreased in frequency over time, with the introduction of lower profile delivery systems and sheaths, they remain one of the most frequently encountered and serious complications of TAVR. Patient\u2010specific predisposing factors have been well characterized. However, much less is known about device\u2010specific complications. Awareness of the possible device\u2010related complications may lead to earlier identification, prompt management, and better outcomes. We report a previously unreported complication of the Edwards expandable eSheath that lead to avulsion of the external iliac artery following successful TAVR with a 29\u2010mm Edwards Sapien 3 transcatheter heart valve. Bleeding was promptly controlled with an occlusion balloon and emergency surgical repair was required with a favorable outcome.<\/jats:p>","DOI":"10.1002\/ccd.30557","type":"journal-article","created":{"date-parts":[[2023,1,14]],"date-time":"2023-01-14T19:07:36Z","timestamp":1673723256000},"page":"660-667","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A very rare vascular complication of the Edwards expandable eSheath during transcatheter aortic valve replacement"],"prefix":"10.1002","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2266-8357","authenticated-orcid":false,"given":"Panagiotis","family":"Savvoulidis","sequence":"first","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital  Edgbaston Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan M.","family":"Nadir","sequence":"additional","affiliation":[{"name":"Department of 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