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    Despite the small profile, it is occasionally difficult to pass the CoreValve InLine sheath through a calcified or tortuous femoral access. We present the case of an 84-year-old woman with a symptomatic severe aortic stenosis, wherein transfemoral transcatheter aortic valve replacement (TAVR) was performed using a self-expandable CoreValve Evolut PRO. Although delivering the CoreValve InLine sheath was difficult due to iliac artery calcification, a low-profile 14-French expandable eSheath proved useful for delivering the Evolut PRO system. This case demonstrated the feasibility of using the Evolut PRO valve combined with a 14-French eSheath, which was designed for the Edwards SAPIEN valve.


    Masaki Yashige, Kan Zen, Yoshito Kadoya, Satoaki Matoba. Combining the CoreValve Evolut PRO and 14-French eSheath in transfemoral transcatheter aortic valve replacement. Cardiovascular intervention and therapeutics. 2021 Apr;36(2):266-267

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    PMID: 32314106

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