22 Mar 2019 Other coronary interventions Case study: an unusual catheter rupture of the balloon during a PCI Coronary balloon fracture complications Consult this clinical case by Dr. R Hammami from the Cardiology Departement of Sfax, Tunisia on an unusual complication during a PCI. Author rania hammami @RHammami_cardio Interventional cardiologist / Cardiologist Sfax, Tunisia Latest contributions Management of bifurcations with complex anatomy - part 2 PCI of bifurcation lesions: management of complications - Part 3 Challenging PCI in patients with complex coronary anatomy View full profile Part 1 - Presentation & procedure By R. hammami Presentation76-year-old patientDiabetesAnterior myocardial infarctionChest pain beginning 13 hours before admissionThe patient still painful at admission, acute heart failure Killip II => cathlab, Primary PCICoronary angiogramRCARCAOcclusion of the proximal LADOcclusion of the proximal LADProcedureBalloon pre-dilatation, very small LAD.Stenting of the proximal LAD and post dilatation.Rupture of the catheter of the balloon during the pull back, the balloon remaining in the LAD. Part 2 - Complication management How to retrieve the balloon when you have no lasso in the cathlab?Another balloon (blue arrow) are inflated in the guide catheter in order to trap the remaining part of the first balloon.Another balloon (blue arrow) are inflated in the guide catheter in order to trap the remaining part of the first balloon.Success of the pull back.Final angiographic result Part 3 - Reflection Key messagesUse half contrast half saline in balloons and stents for PCI Wait full deflation before pulling, usually seen with air bubbles coming back quickly in the inflator after deflationCareful retrieval of the device should be performed especially if you feel abnormal resistance when retrieving the device
22 Mar 2019
Case study: an unusual catheter rupture of the balloon during a PCI
Coronary balloon fracture complications
Consult this clinical case by Dr. R Hammami from the Cardiology Departement of Sfax, Tunisia on an unusual complication during a PCI.
Author
Interventional cardiologist / Cardiologist
Sfax, Tunisia
Latest contributions
Management of bifurcations with complex anatomy - part 2 PCI of bifurcation lesions: management of complications - Part 3 Challenging PCI in patients with complex coronary anatomyBy R. hammami
Presentation
Coronary angiogram
RCA
RCA
Occlusion of the proximal LAD
Occlusion of the proximal LAD
Procedure
Balloon pre-dilatation, very small LAD.
Stenting of the proximal LAD and post dilatation.
Rupture of the catheter of the balloon during the pull back, the balloon remaining in the LAD.
How to retrieve the balloon when you have no lasso in the cathlab?
Another balloon (blue arrow) are inflated in the guide catheter in order to trap the remaining part of the first balloon.
Another balloon (blue arrow) are inflated in the guide catheter in order to trap the remaining part of the first balloon.
Success of the pull back.
Final angiographic result
Key messages
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
Additional Links
Balloon trapping technique Snare technique: Trifold Snare technique: GooseNeck Mini-STAR technique Trapping guide extension catheter technique References: coronary balloon fracture