CLOSING ROAD AND OPENING TRAP: PROGLIDE PARADOX IN TAVI: A CASE REPORT AND MANAGEMENT STRATEGIES REVIEW

İrem Bilge BULBURU, Umutcan VURUCU, Uğur ÖZKAN

Interventional Cardiology Perspectives - 2026;2(1):23-25

Trakya University Faculty of Medicine, Edirne

 

Transcatheter aortic valve implantation offers a minimally invasive solution for patients with severe aortic stenosis who are at elevated surgical risk. Despite advances in access techniques and closure devices, vascular complications remain a significant procedural hazard. Suture-mediated systems, such as ProGlide, are widely adopted for achieving hemostasis but can cause rare, serious complications, particularly in patients with calcified or complex iliofemoral vascular anatomy. We report a unique case in which a ProGlide suture inadvertently entrapped a 7F sheath, requiring urgent surgical intervention. This underscores the need for meticulous preprocedural imaging, operator vigilance, and adaptable access planning to minimize such complications.