Thorac Cardiovasc Surg 2011; 59(6): 375-377
DOI: 10.1055/s-0030-1271018
Case Reports
Cardiovascular
© Georg Thieme Verlag KG Stuttgart · New York

Surgical Removal of a Ruptured, Detached Angioplasty Balloon after Popliteal Stenting

R. Gabrielli1 , M. S. Rosati2 , M. Millarelli1 , G. Caselli1
  • 1Department of Vascular Surgery, Policlinico Casilino, Rome, Italy
  • 2Department of Oncology, Sapienza University, Rome, Italy
Further Information

Publication History

received January 3, 2011 resubmitted March 1, 2011

accepted March 7, 2011

Publication Date:
26 April 2011 (online)

Abstract

Balloon catheter entrapment after stent implantation is a potential interventional complication. However, angioplasty balloon disconnection from the catheter shaft and in-stent entrapment is a very uncommon event that could have serious thrombotic or embolic consequences. The management of this event may be interventional or surgical, depending on the patient's status and the position of the balloon inside the vessel. We describe a case of acute lower limb ischemia after popliteal self-expandable stenting, due to loss of the balloon along with a portion of its shaft. Surgical retrieval was accomplished without any further complications.

References

  • 1 Quinn S F, Hallin R. Endovascular retention of a ruptured polyester balloon in femoral angioplasty.  AJR. 1990;  155 1141-1142
  • 2 Selby Jr J B, Oliva V L, Tegtmeyer C J. Circumferential rupture of an angioplasty balloon with detachment from the shaft: case report.  Cardiovasc Intervent Radiol. 1992;  15 (2) 113-116
  • 3 Angelini P. Balloon catheter coronary angioplasty: balloon rupture.  Cathet Cardiovasc Diagn. 1990;  20 150-151
  • 4 Nukta E, Meier B, Urban P, Muller T. Circumferential rupture and entrapment of a balloon-on-a-wire device during coronary angioplasty.  Cathet Cardiovasc Diagn. 1990;  20 123-125
  • 5 Vanmaele R G, D'Archambeau O C, Van Schil P E, Van Landuyt K, De Schepper A. Ruptured balloon separation during percutaneous transluminal renal artery angioplasty.  Eur J Vasc Surg. 1993;  7 (1) 104-106
  • 6 Kahn J K, Hartzler G O. The spectrum of symptomatic coronary air embolism during balloon angioplasty: causes, consequences, and management.  Am Heart J. 1990;  119 1374-1377
  • 7 Carell E S, Schroth G, Ali A. Circumferential balloon rupture and catheter fracture due to entrapment in a calcified coronary stenosis.  Cathet Cardiovasc Diagn. 1994;  32 346-348
  • 8 London N J M, Srinivasan T, Sayers R D, Naylor A R, Hartshorne T, Ratcliff D A, Bell P R F, Bolia A. Subintimal angioplasty of femoropopliteal artery occlusions: the long-term results.  Eur J Vasc Surg. 1994;  8 (2) 148-155
  • 9 Colombo A, Skinner J M. Balloon entrapment in a coronary artery: potential serious complications of balloon rupture.  Cathet Cardiovasc Diagn. 1990;  19 23-25
  • 10 Tegtmeyer C J, Bezirdjian D R. Removing the stuck, ruptured angioplasty balloon catheter.  Radiology. 1981;  139 231-232
  • 11 Yune H Y, Klatte E C. Circumferential tear of percutaneous transluminal angioplasty catheter balloon.  AJR. 1980;  135 395-396
  • 12 Kahn J K, Hartzler G O. Balloon rupture due to lesion morphology during coronary angioplasty.  Cathet Cardiovasc Diagn. 1990;  21 89-91
  • 13 Kussmaul III W G, Marzo K, Tomaszewski J, DiSesa V J. Rupture and entrapment of a balloon catheter in the left anterior descending artery: fluoroscopic appearance of impending balloon failure.  Cathet Cardiovasc Diagn. 1993;  28 256-259

Dr. Roberto Gabrielli

Department of Vascular Surgery
Sapienza University

Via Don Luigi Sturzo 9

00061 Anguillara Sabazia (Rome)

Italy

Phone: +39 33 91 65 49 03

Fax: +39 06 99 90 15 86

Email: rogadoc@libero.it