Longitudinal Deployment Balloon Rupture With Uncomplicated Retrieval During TAVR.

Authors

Ryotaro Iwata, Daisuke Fukamachi, Naoya Matsumoto, Yasuo Okumura

Published in

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions. Nov 11, 2026. Epub Nov 11, 2026.

Abstract

Deployment-balloon rupture during balloon-expandable transcatheter aortic valve replacement can impede device retrieval. An octogenarian woman underwent transfemoral implantation of a 23-mm SAPIEN 3 Ultra RESILIA valve. The balloon ruptured at approximately the nominal inflation volume adjacent to focal sinotubular-junction calcification. Immediate aspiration produced complete collapse without residual contrast or abnormal balloon geometry, permitting resistance-free retrieval into the 14-F eSheath. Inspection demonstrated a longitudinal tear involving nearly the entire balloon length without circumferential separation or missing fragments. Tear orientation was identifiable only after retrieval; during the procedure, residual contrast, balloon geometry, response to aspiration, and withdrawal resistance guided management. This case suggests that rupture configuration may influence balloon collapse and retrievability, although the proposed relationship remains hypothesis-generating.

PMID:
43016117
Bibliographic data and abstract were imported from PubMed on 12 Nov 2026.

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