Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter

Singh, Jaswinder; Thingnam, Shyam Kumar Singh; Das, Debasis; Singh, Harkant; Sharma, Ruchi; Vijayvergia, Rajesh

doi:10.1510/icvts.2006.140194

Cited by 18 publications

(16 citation statements)

References 6 publications

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“…Patients who experience embolization of foreign bodies in the vasculature have a considerably increased risk for adverse events, depending on the site of embolization. Different surgical and non-surgical methods to handle embolic complications have been proposed for different clinic situations (4)(5)(6)(7)(8)(9). Our study appears to offer a safe and relatively simple method of balloon dilatation inside the lumen of the embolized fragment, to be used when the foreign body is too distal to retrieve with conventional snare systems (10).…”

Section: Discussionmentioning

confidence: 95%

Percutaneous retrieval of an embolized catheter tip with the balloon dilatation technique

Karaca¹,

Çakal²,

Omaygenç³

et al. 2016

Res Cardiovasc Med

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Introduction: Increasing numbers of complex percutaneous coronary interventions have been accompanied by various intra-procedural complications. The fracture and embolization of devices or their fragments are potentially life-threatening situations, depending on the site of embolization. Different non-surgical methods to handle embolic complications have been proposed for different clinical situations. Case Presentation: We present a case of a distally embolized catheter fragment that was percutaneously retrieved. The catheter fragment was tightly held by the inflated balloon, moved together with the system, and successfully retrieved out of the circulation via the femoral sheath. Considerable distal embolization of the foreign body and retrieval with the balloon dilatation technique are the unique features of this case. Conclusions:The present case appears to offer a safe and relatively simple method of balloon dilatation inside the lumen of the embolized fragment when the foreign body is too distal to retrieve with conventional snare systems.

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Section: Discussionmentioning

confidence: 95%

Percutaneous retrieval of an embolized catheter tip with the balloon dilatation technique

Karaca¹,

Çakal²,

Omaygenç³

et al. 2016

Res Cardiovasc Med

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“…The incidence of emergency bypass surgery had declined dramatically from 2.9% in the pre-stent era to 0.7% in the early stent era, and 0.3% in the current stent era. Despite that, the hospital mortality of emergency surgery remained high at 10% -14% [15]- [18].…”

Section: Discussionmentioning

confidence: 99%

Un-Retrieved Deformed Biodegradable Polymer Coated Drug Eluting Stent after Percutaneous Coronary Intervention to Complete Occluded Right Coronary Artery: Patient at 8 Months Angiographic Follow-Up

Mimish¹

2014

IJCM

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Balloon rupture during stent deployment is rare, and can cause stent damage upon its retrieval. We described a case of inadequate drug-eluting stent expansion in a fibrotic and calcified mid right coronary artery lesion despite pre-treatment with high pressure balloon inflation, with rupture and entrapment of the balloon within the stent. Attempts of retrieval of the ruptured balloon caused severe deformity of the distal segment of the stent. The stent could not be crushed or retrieved, and was left in situ. Angiographic follow-up at 8 months time showed widely patent vessel.

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“…A review of the contemporary literature regarding retained balloons only reveals description of coronary equipment and the applied treatment techniques 4, 5, 6. All such reports involve endovascular or surgical retrieval in the coronary circulation 7, 8…”

Section: Discussionmentioning

confidence: 99%

Stent-Apposition Salvage of an Anterior Tibial Artery After Inadvertent Angioplasty Balloon Retention During CTO Revascularization

Choudry

Deutsch

Durinka

et al. 2016

EJVES Short Reports

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IntroductionProgressive improvement in the ability to treat complete total occlusions in the tibial level arterial circulation have made it possible to revascularize patients with critical limb ischemia.ReportA 59 year old male presented with a complete total occlusion of his anterior tibial artery with distal reconstitution through peroneal artery collaterals. During attempted angioplasty a balloon was retained within the patent portion of the target vessel. Two 3.0 mm drug eluting coronary stents were deployed across the length of the balloon with excellent luminal preservation.DiscussionSuccessful CTO revascularization was completed and a strong dorsalis pedis artery pulse was restored following intervention.

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Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter

Abstract: PTCA balloon catheter entrapped in the entire LAD and portion of it lying in ascending aorta could be delivered through the standard coronary arteriotomy for coronary anastomosis, thus avoiding the aortotomy.

Cited by 18 publications

References 6 publications

Percutaneous retrieval of an embolized catheter tip with the balloon dilatation technique

Percutaneous retrieval of an embolized catheter tip with the balloon dilatation technique

Un-Retrieved Deformed Biodegradable Polymer Coated Drug Eluting Stent after Percutaneous Coronary Intervention to Complete Occluded Right Coronary Artery: Patient at 8 Months Angiographic Follow-Up

Stent-Apposition Salvage of an Anterior Tibial Artery After Inadvertent Angioplasty Balloon Retention During CTO Revascularization

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