Balloon entrapment during side-branch angioplasty through a stent

Chan, Albert W.; Lohavanichbutr, Kamol; Carere, Ronald G.; Webb, John G.

doi:10.1002/(sici)1522-726x(199902)46:2<202::aid-ccd19>3.0.co;2-4

Cited by 13 publications

(3 citation statements)

References 12 publications

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“…Potential technical problems associated with this procedure include: (a) an inability to pass the wire or balloon across the struts; (b) difficulty redilatating the struts in the parent vessel; and (c) balloon entrapment after dilatation [7]. In our case, we experienced a previously unreported problem, that of failed opening of the struts of the second stent.…”

Section: Discussionmentioning

confidence: 59%

Bail-out rotational atherectomy to ablate stent struts after treatment of a LAD bifurcation lesion with the trousers technique

Morocutti

Vendrametto

Spedicato

et al. 2000

Cathet. Cardiovasc. Intervent.

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We present a previously unreported complication of the "trousers" stent procedure used for treatment of a bifurcation lesion in the left anterior descending artery and the first diagonal branch. Closure of the main vessel occurred. A balloon, however, could not be advanced across the side-branch stent to open the struts toward the main branch. Therefore, a bailout rotational atherectomy was performed to ablate the stent that then allowed a further dilatation with a PTCA balloon. This procedure resolved a potentially lethal outcome for the patient who subsequently underwent uneventful coronary by-pass grafting.

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Section: Discussionmentioning

confidence: 59%

Bail-out rotational atherectomy to ablate stent struts after treatment of a LAD bifurcation lesion with the trousers technique

Morocutti

Vendrametto

Spedicato

et al. 2000

Cathet. Cardiovasc. Intervent.

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“…Importantly, there was no procedural complication related to this technique. Although previous report showed the risk of entrapment of balloon to cross the SB in bifurcation lesion, there is no entrapment of catheter in this method [5]. In addition, this technique is shown to be simple to use, highly effective, and safe.…”

Section: Discussionmentioning

confidence: 88%

Distal balloon deflation technique: A new method to facilitate entry of balloon catheter, stent, and guiding catheter to distal lesion

Ashikaga

Sakurai

Satoh

2009

Cathet Cardio Intervent

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We occasionally encountered difficult cases of balloon and stent delivery to the distal lesion because of narrow stent strut, severe calcification, or tortuosity of the proximal section. We describe a new technique to deliver balloon, stent, and guiding catheter to the distal lesion using a distal balloon deflation. This technique offers a potential alternative for cases in which the delivery of balloon and stent is difficult.

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“…There have been previous reports of balloon entrapment when dilating branch vessels through stent tines [3]. One report in the past has described the complication of antegrade stent dislodgment with IVUS; that patient was referred for bypass surgery [4].…”

Section: Discussionmentioning

confidence: 99%

Technical considerations when intervening with coronary device catheters in the vicinity of previously deployed stents

Grantham

Tiede

Holmes

2001

Cathet. Cardiovasc. Intervent.

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As stent use increases, interventional cardiologists are increasingly faced with patients that require procedures in the vicinity of previously deployed stents. We present two cases of side-branch interventions in the vicinity of previously deployed stents where devices were trapped by the stent. In each case, traction on the device resulted in stent dislodgment. The stents were successfully extracted and replaced without complications.

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Balloon entrapment during side-branch angioplasty through a stent

Cited by 13 publications

References 12 publications

Bail-out rotational atherectomy to ablate stent struts after treatment of a LAD bifurcation lesion with the trousers technique

Bail-out rotational atherectomy to ablate stent struts after treatment of a LAD bifurcation lesion with the trousers technique

Distal balloon deflation technique: A new method to facilitate entry of balloon catheter, stent, and guiding catheter to distal lesion

Technical considerations when intervening with coronary device catheters in the vicinity of previously deployed stents

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