Management of balloon rupture during a percutaneous pulmonary valve implantation procedure

Faccini, Alessia; Chessa, Massimo; Aljoufan, Mansour

doi:10.1017/s1047951118001051

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…A similar situation in which a balloon ruptured during prestenting has been described. In this case, the problem was solved by using a double-balloon technique (9). Folding a Melody valve from both ends significantly shortens the Melody valve, enabling PPVI in patients with a short "landing zone", as was present in our patient (10).…”

Section: Discussionmentioning

confidence: 83%

Management of a doubly folded, partially inflated Melody valve after outer balloon rupture: a case report

Schopen¹,

Gendera²,

Ewert³

et al. 2021

Cardiovasc Diagn Ther

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This is a report of a rare complication during implantation of a Melody valve in an adult patient in whom the valve failed to expand due to balloon rupture. An 18-year-old patient was admitted with an increased right ventricular pressure and severe pulmonary regurgitation for scheduled cardiac catheterization.Angiography revealed a proximal stenosis of the left pulmonary artery (LPA). First, a prestenting was performed. Three months later he came back for planned percutaneous pulmonary valve implantation (PPVI).Because of the proximity of the right coronary artery (RCA) to the right ventricular outflow tract (RVOT) and thus a relatively short landing zone, the Melody valve had been doubly folded. During the inflation of the outer balloon, it ruptured. At this point, the Melody valve was still fixed to the inner balloon. A second catheter was placed through the Melody valve and successful valve implantation was possible. This procedure was difficult because to push the catheter through the partly inflated Melody valve, the inner balloon had to be slowly and simultaneously deflated. The final angiograms and pressure measurements showed a good functional result and absent pulmonary regurgitation. Open heart surgery could be avoided after incomplete Melody valve dilatation using the contralateral pulmonary artery as a safe rail.

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Section: Discussionmentioning

confidence: 83%

Management of a doubly folded, partially inflated Melody valve after outer balloon rupture: a case report

Schopen¹,

Gendera²,

Ewert³

et al. 2021

Cardiovasc Diagn Ther

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“…Another advantage of the 65‐cm DrySeal sheath is illustrated in cases of ruptured or deformed balloons. Rupture of the Edwards delivery balloon could occur during valve deployment especially in patients with calcified bioprostheses or homografts 16,17 . Our group experienced two cases with difficult retrieval of a ruptured delivery balloon with the e‐sheath, resulting in a embolization the tip of the e‐sheath in one case and tricuspid valve injury in the other case.…”

Section: Discussionmentioning

confidence: 92%

“…Rupture of the Edwards delivery balloon could occur during valve deployment especially in patients with calcified bioprostheses or homografts. 16,17 Our group experienced two cases with difficult retrieval of a ruptured delivery balloon with the e-sheath, resulting in a embolization the tip of the esheath in one case and tricuspid valve injury in the other case. It is suspected that manipulation of the system during retrieval directly caused the tricuspid valve injury in the latter case.…”

Section: Discussionmentioning

confidence: 99%

Utility of the long DrySeal sheath in facilitating transcatheter pulmonary valve implantation with the Edwards Sapien 3 valve

Fukuda¹,

Tan²,

Sadeghi³

et al. 2020

Cathet Cardio Intervent

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Objective: To assess the utility of the 65-cm-long Gore DrySeal sheath when compared to the standard 36-cm-long Edwards expandable sheath (e-sheath) for transcatheter pulmonary valve implantation (TPVI) with the Edwards Sapien 3 valve. Methods: All patients who underwent TPVI with the Sapien 3 valve, excluding those performed via hybrid approach, at our center between September 2015 and November 2019 were retrospectively reviewed and compared between two groups. Results: A total of 94 patients were enrolled; 29 patients underwent TPVI with the Sapien valve using the DrySeal sheath and 65 underwent TPVI using the e-sheath. The height and body weight of patients implanted using the DrySeal sheath ranged from 137 to 193 cm and from 33 to 129 kg, respectively. Valve delivery time was significantly shorter in the DrySeal group (median time 4 min 33 s vs. 9 min 6 s, p = .002). There were no complications in the DrySeal group (0/27). Nine procedural complications occurred in the e-sheath group (9/65), five of which were potentially directly related to sheath choice, including tricuspid valve injury in four and embolization of the tip of the e-sheath during retrieval of a ruptured balloon in one patient. Conclusions: TPVI with the Sapien 3 valve using the 65-cm-long DrySeal sheath facilitates faster and safer valve implantation when compared to the e-sheath.

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Management of balloon rupture during a percutaneous pulmonary valve implantation procedure

Cited by 2 publications

References 7 publications

Management of a doubly folded, partially inflated Melody valve after outer balloon rupture: a case report

Management of a doubly folded, partially inflated Melody valve after outer balloon rupture: a case report

Utility of the long DrySeal sheath in facilitating transcatheter pulmonary valve implantation with the Edwards Sapien 3 valve

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