{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T10:48:46Z","timestamp":1779878926137,"version":"3.53.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Large\u2010bore arterial access (LBAA) closure for percutaneous interventional procedures is often achieved using suture\u2010based vascular closure devices (VCDs), most commonly Perclose ProGlide (Abbott Vascular, Santa Clara, CA). Although the rate of vascular occlusion due to suture\u2010based VCDs is rare, there is no widely accepted percutaneous bailout treatment for this device\u2010related complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This investigation sought to evaluate the percutaneous treatment of suture\u2010based VCD\u2010mediated closure in vivo and explain its mechanism with an ex vivo benchtop model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study focused on patients who underwent LBAA closure complicated by vascular occlusion related to the Perclose VCD. These were managed through percutaneous endovascular interventions (PEI), in which the identified occlusions were treated using a peripheral cutting balloon. Additionally, a benchtop model utilizing silicone tubing was developed to simulate the occlusion mechanism caused by the Perclose VCD and to compare the use of non\u2010compliant versus cutting balloons in this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 6\u2009mm cutting balloon successfully cut the monofilament polypropylene at 3 atmospheres (ATM), whereas a 5\u2009mm non\u2010compliant balloon failed, even at a burst pressure of 24 ATM. In this patient cohort, seven patients were found to have common femoral artery (CFA) occlusion following the tightening of the previously deployed Perclose VCD. The median age was 87 years (interquartile range: 80\u221287), 71% were female, and had significant cardiovascular risk factors. All patients were diagnosed with CFA occlusion at the end of the transcatheter aortic valve replacement procedure during aortoiliac angiography, following vascular closure. PEI was performed using a combined cutting balloon and balloon angioplasty approach across the entire patient cohort with complete revascularization, minimal residual stenosis, no severe complications, no covered stents required, and no reported conversions to surgery. Long\u2010term follow\u2010up in six patients showed no reinterventions required or related mortalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on the findings from our ex vivo model and clinical experience, peripheral cutting balloon angioplasty should be considered for the management of vessel occlusion caused by suture\u2010based VCD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31598","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T05:11:24Z","timestamp":1748841084000},"page":"1078-1087","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Percutaneous Management of Vessel Occlusion Caused by Suture\u2010Based Closure Devices: A Case Series and Benchtop Model"],"prefix":"10.1002","volume":"106","author":[{"given":"Dan","family":"Haberman","sequence":"first","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1502-2006","authenticated-orcid":false,"given":"Evan","family":"Czulada","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lior","family":"Lupu","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0602-2684","authenticated-orcid":false,"given":"Kalyan R.","family":"Chitturi","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waiel","family":"Abusnina","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Chaturvedi","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3294-5968","authenticated-orcid":false,"given":"Ilan","family":"Merdler","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Galo","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beni R.","family":"Verma","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3662-2832","authenticated-orcid":false,"given":"Ryan","family":"Wallace","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Rogers","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"},{"name":"Cardiovascular Intervention Program, Division of Intramural Research, National Heart Lung and Blood Institute National Institutes of Health Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itsik","family":"Ben\u2010Dor","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-9226","authenticated-orcid":false,"given":"Ron","family":"Waksman","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson L.","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.07.005"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2020.01.007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.057856"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv417"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.25270\/jic\/18.00173"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30921"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2023.06.425"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21671"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.10.015"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008150"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30176"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjopen\/oeac043"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.877407"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29095"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.11.009"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.01.072"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.15420\/ECR.2005.48"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/00368504241278481"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.10.016"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/25029516"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574418791883"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.31272"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31598","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31598","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:04:29Z","timestamp":1771221869000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31598"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31598","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2025-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}