Coronary entrapped deflated balloon during PCI
Coronary balloon fracture complications
While entrapment of a balloon during percutaneous coronary interventions is rare, it can occur and lead to life-threatening complications, such as myocardial infarction (MI) and lethal arrhythmias. Balloon entrapment is usually seen in either tortuous, calcified, or angulated coronary lesions. This section explains management of this complication and lays out appropriate techniques.
Table of content
Introduction
Entrapment of a balloon during PCI is rare, but can lead to life-threatening complications, MI or lethal arrhythmias. Balloon entrapment usually occurs in either tortuous, calcified, or angulated coronary lesions. Coronary interventionists should be aware of the possibility of balloon entrapment during complex coronary interventions and become familiar with non-surgical catheter-based methods for retrieval of the entrapped devices. This section describes the tools, imaging modalities and techniques such as the “mini-STAR” and could prevent surgical intervention.[1]
Management overview
- Mini-STAR technique: The mini-STAR technique is a promising bailout strategy for the management of entrapped enflated balloons in the event of complications, achieving a high procedural success rate and low occurrence of procedural adverse events.
Key messages:
- Surgery should be considered very quickly as an emergency procedure
Additional links
References - Balloon fracture complications
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