{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:06:46Z","timestamp":1789542406975,"version":"build-2803163510"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Balloon rupture during transcatheter aortic valve replacement (TAVR) with balloon\u2010expandable valves is a rare but potentially serious complication that may result in incomplete valve expansion, difficult device retrieval, and vascular injury. We report the case of an 88\u2010year\u2010old woman with severe calcific aortic stenosis who underwent TAVR using a 20\u2010mm SAPIEN 3 transcatheter heart valve. Balloon rupture during valve deployment resulted in partial valve expansion and significant paravalvular leak. Conventional retrieval attempts were unsuccessful because the crumpled balloon became entrapped within the posterior expandable segment (\u201cgutter\u201d) of the Edwards E\u2010sheath. A novel Gutter Rotation Technique, involving counter\u2010clockwise rotation of the E\u2010sheath with simultaneous clockwise rotation of the Commander delivery system, redirected the balloon toward the rigid portion of the sheath, enabling successful ipsilateral percutaneous retrieval without surgical or contralateral intervention. Valve expansion was subsequently optimized with balloon post\u2010dilatation. This technique may represent a feasible bailout maneuver in selected cases of Type 1 or Type 2 balloon rupture and warrants further evaluation.<\/jats:p>","DOI":"10.1002\/ccd.70893","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:48:16Z","timestamp":1789541296000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gutter Rotation Technique for Percutaneous Ipsilateral Retrieval of a Ruptured SAPIEN\u20103 Balloon"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2112-8662","authenticated-orcid":false,"given":"Anne Venkata","family":"Ganeshkumar","sequence":"first","affiliation":[{"name":"Department of Cardiology Dr. L H Hiranandani Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guru Chaithanya Kumar","family":"Chagalakondu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sindhu Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen Kumar","family":"Murki","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sindhu Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siva Sankara","family":"Kattinti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sindhu Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarat","family":"Surapaneni","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery Sindhu Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somaraju","family":"Bhupatiraju","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sindhu Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.12.052"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2025.08.029"},{"issue":"12","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/j.jacc.2012.07.003","article-title":"Vascular Complications After Transcatheter Aortic Valve Replacement: Insights From the PARTNER Trial","volume":"60","author":"Genereux P.","year":"2012","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-10-S1-A316"},{"issue":"15","key":"e_1_2_11_6_1","first-page":"1593","article-title":"Vascular Injury Caused by Retrieval of Ruptured and Detached Balloon Valvuloplasty Catheter During Transcatheter Aortic Valve Replacement","volume":"10","author":"Kubo S.","year":"2017","journal-title":"JACC: Cardiovascular Interventions"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.10.028"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.04.032"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.01.040"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.55415\/deep-2023-0055.v1"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70893","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70893","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70893","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:48:17Z","timestamp":1789541297000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70893"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,15]]},"references-count":9,"alternative-id":["10.1002\/ccd.70893"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70893","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,15]]},"assertion":[{"value":"2026-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70893"}}