Dr. Nazli Okumus
Interventional Cardiologist
8 Podcasts on BackTable
Dr. Nazli Okumus is an interventional and structural cardiologist at the Cardiovascular Institute of Central Florida.
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Episode # 10 • 02 Aug 2026
Crisis Control - Bailout Management for Failed Percutaneous Axillary Artery Closure
Building on the Data-to-Delivery and Proctor Playbook episodes, this Crisis Control episode walks through a scenario of wide-open extravasation after Perclose failure during right axillary access TAVR. The team covers a stepwise escalation algorithm — from repeat Perclose deployment and serial balloon tamponade with protamine reversal, to hybrid closure with AngioSeal, to covered stent placement with the Viabahn endoprosthesis — and discusses when to call vascular surgery. This episode translates the 2022 SCAI Position Statement bailout recommendations into a practical, cath-lab-ready crisis management framework.
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About
Dr. Nazli Okumus is an interventional cardiologist specializing in complex coronary, structural heart, and venous thromboembolism interventions. She completed her Internal Medicine residency at Case Western Reserve University/MetroHealth Medical Center in Cleveland, followed by General Cardiology and Interventional Cardiology fellowships at Allegheny Health Network in Pittsburgh, where she gained broad exposure to advanced structural heart and critical care therapies. Dr. Okumus joined the Cardiovascular Institute of Central Florida in 2025.
Clinically, Dr. Okumus performs diagnostic cardiac catheterization, percutaneous coronary intervention (PCI), intravascular imaging (IVUS), physiologic assessment (FFR/iFR), and peripheral arterial interventions. Her structural heart procedures include transcatheter aortic valve replacement (TAVR), transcatheter edge-to-edge mitral repair (MitraClip), patent foramen ovale (PFO) closure, and left atrial appendage (LAA) occluder device implantation. She also manages pulmonary embolism and deep-vein thrombosis with mechanical thrombectomy, and performs temporary transvenous pacing. In addition, she is proficient in cardiac imaging, including transthoracic and transesophageal echocardiography, nuclear stress testing, and coronary CT angiography.
Board certifications include Cardiovascular Disease and Internal Medicine (ABIM), with additional certifications from the National Board of Echocardiography and the Certification Board of Cardiovascular Computed Tomography. Her research and writing have appeared in leading journals and conference proceedings (including JACC: Heart Failure, US Cardiology Review, and Heart Rhythm/ACC abstracts), and she remains active in national professional societies and education initiatives. Dr. Okumus is committed to evidence-based, compassionate care and to partnering with patients to personalize treatment plans that improve both longevity and quality of life.
The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.