{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:03:45Z","timestamp":1790859825125,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Nose cone entrapment is a rare but potentially serious complication of structural heart interventions. Most cases have been reported during transcatheter aortic valve implantation (TAVI), typically related to heavy left ventricular outflow tract (LVOT) calcification, severe annular angulation, or under\u2010expansion of the valve frame. Entrapment within vascular structures is much less common. We describe two unusual cases. The first involved femoral artery entrapment of the Evolut PRO+ nose cone due to a ProGlide suture knot, managed with a distal snaring technique but complicated by vascular injury requiring covered stent implantation. The second occurred during heterotopic caval valve implantation (TricValve system), in which interference from a prominent Eustachian valve was suspected to have contributed to venous entrapment and dislodgement of the delivery system nose cone. This was successfully retrieved en bloc with an EN Snare without vascular complications. These cases highlight that nose cone entrapment is not limited to valvular structures and may also occur in arterial or venous vasculature, with different mechanisms and bailout strategies.<\/jats:p>","DOI":"10.1002\/ccd.70934","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:51:29Z","timestamp":1790859089000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Valve: A Tailored Distal Snaring Strategy for Complex Arterial and Venous Nose Cone Entrapment During Transfemoral TAVI and TricValve Implantation"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0880-0491","authenticated-orcid":false,"given":"Adrien","family":"Jossart","sequence":"first","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2311-4129","authenticated-orcid":false,"given":"Ignacio Amat","family":"Santos","sequence":"additional","affiliation":[{"name":"Division of Cardiology Hospital Cl\u00ednico Universitario de Valladolid Valladolid Spain"},{"name":"CIBERCV (Centro de investigaci\u00f3n biom\u00e9dica en red\u2013Enfermedades cardiovasculares) Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6682-6636","authenticated-orcid":false,"given":"Sara Blasco","family":"Turrion","sequence":"additional","affiliation":[{"name":"Division of Cardiology Hospital Cl\u00ednico Universitario de Valladolid Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8645-6513","authenticated-orcid":false,"given":"Marouane","family":"Boukhris","sequence":"additional","affiliation":[{"name":"Cardiology Department CHU Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Auslender","sequence":"additional","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-0925","authenticated-orcid":false,"given":"Giuseppe","family":"Colletti","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Clinique Saint Joseph, Vivalia Arlon Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Soetens","sequence":"additional","affiliation":[{"name":"Cardiology Department Nouvel H\u00f4pital Priv\u00e9 les Franciscaines N\u00eemes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3186-6624","authenticated-orcid":false,"given":"Mihai","family":"Cocoi","sequence":"additional","affiliation":[{"name":"Cardiology Department \u201cNiculae Stancioiu\u201d Heart Institute Cluj\u2010Napoca Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1583-5882","authenticated-orcid":false,"given":"Claudiu","family":"Ungureanu","sequence":"additional","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000000090"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2024.103120"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaf176"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-022-00843-5"},{"issue":"4","key":"e_1_2_9_6_1","first-page":"489","article-title":"Snaring of Embolized Devices in Structural Heart Interventions: Techniques and Outcomes","volume":"11","author":"Farooq V.","year":"2015","journal-title":"EuroIntervention"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaa428"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10194601"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccl.2021.09.010"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2401918"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.case.2024.12.002"}],"container-title":["Catheterization and Cardiovascular 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