An 18 fr.Sentrant sheath was used as an accessory device with a medtronic evolut pro transcatheter aortic valve during a tavr procedure.It was reported that during the procedure dissection of the left common iliac artery occurred.An 8x59mm non-mdt balloon expandable stent (gore vbx) was placed to repair the dissection.As per the physician the cause of the dissection was possible the nose cone of the delivery system, or possibly the sentrant sheath.No additional clinical sequalae were reported and the patient is fine.
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