Related Experiment Video

Updated: Aug 18, 2026

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
06:53

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application

Published on: July 9, 2020

Adverse events associated with balloon rupture during percutaneous coronary intervention

A W Chan1, A Rabinowitz, J G Webb

  • 1St Paul's Hospital, University of British Columbia, Vancouver, Canada.

The Canadian Journal of Cardiology
|September 30, 1999
PubMed

Insights

Coronary angioplasty balloon rupture is a rare complication. Most patients experience no adverse outcomes, with rates of death and emergency bypass surgery similar to those without rupture.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Complications

Background:

  • Balloon rupture during coronary angioplasty is a known complication.
  • Existing literature presents conflicting data on the adverse consequences of balloon rupture.
  • This study reviews the experience with balloon rupture at St. Paul's Hospital.

Purpose of the Study:

  • To evaluate the clinical outcomes and adverse events associated with coronary angioplasty balloon rupture.
  • To compare the incidence of major adverse events in patients with and without balloon rupture.

Main Methods:

  • Retrospective review of patients undergoing percutaneous coronary intervention with balloon rupture from April 1992 to March 1996.
  • Detailed analysis of procedural logs, hospital records, and cineangiograms.
  • Identification of adverse events including death, emergency bypass surgery, and myocardial infarction.

Main Results:

  • Out of 2984 procedures, 110 (3.7%) experienced balloon rupture, primarily in native coronary arteries (92%).
  • Stents were used in 40% of cases.
  • 93% of patients had an event-free post-procedure hospitalization; 7% experienced adverse events, including death, urgent bypass surgery, and myocardial infarction.
  • The rates of death and emergency bypass surgery did not significantly differ between patients with and without balloon rupture (1.8% vs. 1.4%).

Conclusions:

  • Coronary angioplasty balloon rupture generally does not lead to excess major adverse clinical outcomes.
  • Patients typically demonstrate good angiographic results and an event-free hospitalization post-rupture.
  • The incidence of adverse events is comparable to the general angioplasty population.
Abstract

More Related Videos

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

The Intra-Aortic Balloon Pump06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...