Coronary balloon fracture: shaft fracture, balloon dysfunction or entrapped balloon

Coronary embolised device complications

Complications related to balloon technology have become very rare. However during PCI, it could happen that a balloon becomes entrapped, that a balloon shaft fractures or balloon dysfunction occurs. Lean how to manage these coronary complications here...

PCR Complications Team: Patrick Calvert, Eric Eeckhout, Michael Haude and Olivier Muller

Medical assistant: Julien Adjedj, Stephane Fournier

The 3 main scenarios that can be encountered are:

1. Balloon shaft fracture (within or outside the guiding catheter)
2. Undeflatable balloon
3. Entrapped deflated balloon

BALLOON SHAFT FRACTURE	Balloon shaft fracture management is different according the zone rupture: within or outside the guiding catheter. All approaches are described in this section.	BALLOON SHAFT FRACTURE
UNDEFLATABLE BALLOON	This section explains how to manage an undeflatable balloon in the coronary artery.	UNDEFLATABLE BALLOON
ENTRAPPED DEFLATED BALLOON	Coronary balloon entrapment during emergency or elective PCI as well as the successfully removal through non-surgical techniques are described.	ENTRAPPED BALLOON

Each type of complication is presented in three parts, namely:

• Part 1 - Introduction
• Part 2 - Management algorithm/decision tree and additional links
• Part 3 - Case library

In addition to this complication management resource, further cases on complications are available on the website in the Topics section or consult the other complications sections on the website.