Potential Complications/Outcomes/Adverse Events
There is potential for balloon separation following balloon rupture or misuse and the
subsequent need to use a snare or other medical interventional techniques to
retrieve device fragments. Large diameter balloons are capable of bursting
circumferentially creating device snag points that can inhibit catheter withdrawal.
Moderate to severe subannular/left ventricular outflow tract (LVOT) calcification has
been associated with increased risk of aortic root rupture during transcatheter aortic
valve replacement (TAVR) procedures with balloon-expandable prostheses
procedures may be similarly cautioned.
Cardiac or Vascular Perforation or Dissection
Conduction System Injury Requiring a Temporary or Permanent Pacemaker
Supraventricular or Ventricular Tachyarrhythmia Development
Hematoma or Severe Vascular Injury Resulting in Transfusion, Surgical Repair or Loss
of Limb
Anaphylaxis or Other Contrast Reactions Including Acute Renal Failure
Following Balloon Rupture
Restenosis Development
Death
Thromboembolic Events Including Stroke
Cardiovascular Injury Requiring Emergent Surgery
Valvular Tearing or Trauma Resulting in Severe Aortic Regurgitation
Myocardial Infarction
Hemodynamic Compromise or Shock Requiring Appropriate Intervention Including
IAPB Support or Intubation
Inflammation or Infection
Tamponade and Need for Pericardiocentesis
Lack of significant hemodynamic improvement despite dilatation of the aortic valve
1: Barbanti et al; Circulation. 2013; 128:244-253
1204-001 Revision D.1
1
. BAV
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