A New Technique to Puncture and Remove a PTCA Balloon that Fails to Deflate

Abstract

We present the first clinical report and describe the technique of using a modified Heartrail II guiding catheter to successfully puncture and remove a coronary angioplasty balloon that failed to deflate after stent implantation.

Undeflatable balloon guide catheter (BGC) during endovascular procedure: Rescue strategy

“…13)24)26) The EuroPCR group has proposed a number of rescue therapeutic options in cases of non-deflatable coronary balloons (www.pcronline.com). 19) Brinjikji et al reported groin complications (groin or retroperitoneal hematoma, femoral artery bleeding, etc.) caused by large groin sheaths, 6) whereas catheter instability, carotid artery dissection, and difficult aortic arch have been identified as potential complications.…”

“…Although there are various complications associated with endovascular procedures, there have been reports of coronary artery intervention for complications related to deflation failure [ 13 , 24 , 26 ]. The EuroPCR group has proposed a number of rescue therapeutic options in cases of non-deflatable coronary balloons ( www.pcronline.com ) [ 19 ].…”