Key result
Cutting balloon resolves post-TAVR suture-related vascular occlusion as a bailout strategy in two cases.
Why the study?
Iatrogenic vascular occlusion due to suture-based vascular closure devices can occur and requires effective bailout strategies.
Does a cutting balloon resolve suture-related vascular occlusion after transcatheter aortic valve replacement?
Case Report (n=2)
Does a cutting balloon resolve suture-related vascular occlusion after transcatheter aortic valve replacement?
The cutting balloon can be used as a bailout strategy to alleviate suture-related vascular occlusion after TAVR.
May offer bailout for post-TAVR suture occlusion; hypothesis-generating and requires prospective validation.
Suture-based vascular closure devices have been shown to be effective in hemostasis for procedures with vascular access. However, iatrogenic vascular occlusion may occur. The cutting balloon (CB) is a noncompliant balloon wrapped with 3-4 microsurgical blades that are intended to modify vascular lesions, but it may also be utilized to cut and release endovascular sutures. We report two cases in which the CB was employed as a bailout strategy to alleviate suture-related vascular occlusion after transcatheter aortic valve replacement. The CB can be effectively utilized to resolve suture-related vascular occlusion.
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Merdler et al. (2023) conducted a case report in Suture-related vascular occlusion after transcatheter aortic valve replacement (n=2). Cutting balloon was evaluated on Resolution of suture-related vascular occlusion. The cutting balloon was effectively utilized as a bailout strategy to resolve suture-related vascular occlusion after transcatheter aortic valve replacement in two cases.
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