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Percutaneous puncture of a nondeflatable coronary artery angioplasty balloon
N J Forcier1, P N Cascade, J B Maltzman
1Department of Diagnostic Imaging/Radiology, Sinai Hospital of Detroit, Michigan.
Catheterization and Cardiovascular Diagnosis
|November 1, 1990
Insights
A permanently inflated balloon catheter in a coronary artery bypass graft was successfully deflated. The device was withdrawn into the iliac artery and punctured percutaneously using a CHIBA needle.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Coronary artery bypass grafting (CABG) is a common surgical procedure to restore blood flow to the heart.
- Complications during or after CABG can necessitate complex interventions.
- Balloon catheters are essential tools in interventional cardiology but can rarely malfunction.
Observation:
- A case report details a balloon catheter becoming permanently inflated within a saphenous vein bypass graft.
- The device remained lodged despite attempts at deflation.
- This presented a significant challenge for potential graft or patient compromise.
Findings:
- The permanently inflated balloon catheter was forcibly withdrawn from the coronary artery bypass graft into the external iliac artery.
- Successful deflation was achieved through percutaneous puncture using a CHIBA needle.
- This novel approach resolved the critical device malfunction.
Implications:
- This case highlights a rare but serious complication of balloon catheter use in bypass grafts.
- The successful percutaneous deflation technique offers a potential salvage strategy for similar future events.
- It underscores the importance of innovative problem-solving in interventional cardiovascular procedures.
Abstract:
We report a case in which a balloon catheter became permanently inflated in a coronary artery saphenous vein bypass graft. While still inflated, the balloon was forcibly withdrawn from the graft into the external iliac artery and successfully deflated via percutaneous puncture using a CHIBA needle.