A New Technique to Puncture and Remove a PTCA Balloon that Fails to Deflate

Abstract

We present the first clinical report and describe the technique of using a modified Heartrail II guiding catheter to successfully puncture and remove a coronary angioplasty balloon that failed to deflate after stent implantation.

Keywords

coronary - angioplasty balloon - puncture - balloon failure - deflate - stent - Heartrail catheter

Publication History

Article published online:
16 September 2020

• References

• 1 Takama T, Ito Y, Ishimori H, Tsukahara R, Muramatsu T. Failure of a balloon to deflate during post dilatation in a coronary artery. Cardiovasc Interv Ther 2015; 30 (01) 57-60
• 2 Leibundgut G, Degen C, Riede F. Transcutaneous puncture of an undeflatable coronary angioplasty balloon catheter. Case Rep Cardiol 2018; 2018: 6252809
• 3 Gilchrist IC. Troubleshooting and treating the balloon that fails to deflate. Catheter Cardiovasc Interv 2011; 77 (01) 62
• 4 Priya SV, George R, Jayaprakash VL. Balloon Deflation Failure During Angioplasty. Images in Cardiology. Kerala Heart Journal Nov. 2010 - Jan. 2011 pg: 44
• 5 Chang W-T, Chen J-Y, Li Y-H, Tsai LM, Lee CH. A two-case series of entrapment of a ruptured balloon in the coronary artery: avoidable complications and nonsurgical management. J Formos Med Assoc 2015; 114 (11) 1135-1139
• 6 Desai CK, Petrasko M, Steffen K, Stys T, Stys A. Retained coronary balloon requiring emergent open surgical retrieval: an uncommon complication requiring individualized management strategies. Methodist DeBakey Cardiovasc J 2019; 15 (01) 81-85
• 7 Jalai Noruzi. Balloons that would not deflate. . Accessed June 24, 2020 at https://www.pcronline.com/Cases-resources-images/Resources/Course-videos-slides/2019/Balloons-that-would-not-deflate-what-works-and-what-does-not-work