{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:17Z","timestamp":1753876217706,"version":"3.41.2"},"reference-count":3,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T00:00:00Z","timestamp":1683590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Transcatheter aortic valve implantation (TAVI) has revolutionised the treatment of severe aortic stenosis, but is still associated with a risk of major vascular complication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>An elective transfemoral TAVI was undertaken for severe aortic stenosis. During delivery of a 26mm Sapien S3 valve, the delivery system sheath (eSheath) split prematurely. The valve could not be advanced, and lay parallel to the sheath body. Following advice, an attempt was made to remove the system en bloc but this was unsuccessful. After careful consideration of alternative options, the valve was advanced with reasonable force and the case was completed successfully. The femoral artery was closed with parclose sutures without major vascular complication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Early recognition of a split sheath with effective communication between lab team members and the manufacturer allowed us to successfully navigate this case, with a good outcome for our patient.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytad229","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T21:36:30Z","timestamp":1683754590000},"source":"Crossref","is-referenced-by-count":0,"title":["Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1926-5925","authenticated-orcid":false,"given":"Andrew R","family":"Chapman","sequence":"first","affiliation":[{"name":"Edinburgh Heart Centre, Royal Infirmary of Edinburgh , Edinburgh EH16 4SA , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1855-0775","authenticated-orcid":false,"given":"Anastasia","family":"Russell-Dalton","sequence":"additional","affiliation":[{"name":"Edinburgh Heart Centre, Royal Infirmary of Edinburgh , Edinburgh EH16 4SA , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Holland","sequence":"additional","affiliation":[{"name":"Edinburgh Heart Centre, Royal Infirmary of Edinburgh , Edinburgh EH16 4SA , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew D","family":"Flapan","sequence":"additional","affiliation":[{"name":"Edinburgh Heart Centre, Royal Infirmary of Edinburgh , Edinburgh EH16 4SA , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"2023060914205722000_ytad229-B1"},{"key":"2023060914205722000_ytad229-B2","article-title":"A rare complication of the expandable sheath vascular system during transcatheter aortic valve implantation","volume":"5","author":"Farag","year":"2021","journal-title":"Eur Heart J Case Rep"},{"key":"2023060914205722000_ytad229-B3","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/572681","article-title":"Changes of the eSheath outer dimensions used for transfemoral transcatheter aortic valve replacement","author":"Koehler","year":"2015","journal-title":"Biomed Res Int"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytad229\/50250857\/ytad229.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/6\/ytad229\/50515133\/ytad229.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/6\/ytad229\/50515133\/ytad229.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T16:02:52Z","timestamp":1686326572000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytad229\/7157283"}},"subtitle":[],"editor":[{"given":"Amr","family":"Idris","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Julio","family":"Echarte","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Andrew","family":"Goldsweig","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Lina","family":"Ya\u2019qoub","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marta","family":"Peverelli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Gon\u00e7alo","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,5,9]]},"references-count":3,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytad229","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2023,6]]},"published":{"date-parts":[[2023,5,9]]},"article-number":"ytad229"}}