Cutting balloon for femoral arterial and venus obstructions due to suture-based closure devices: Case series

Catheter Cardiovasc Interv. 2023 Jun;101(7):1235-1238. doi: 10.1002/ccd.30668. Epub 2023 Apr 16.

Abstract

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.

Keywords: cutting balloon; suture-based closure device; transcatheter aortic valve replacement; vascular closure.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery
  • Hemostatic Techniques / adverse effects
  • Humans
  • Sutures
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome
  • Vascular Closure Devices*
  • Venus*