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Circumferential rupture and entrapment of a balloon-on-a-wire device during coronary angioplasty
Catheterization and Cardiovascular Diagnosis
|June 1, 1990
Insights
During coronary artery interventions, a balloon-on-a-wire catheter ruptured, temporarily trapping it. The blockage was successfully treated using an alternative over-the-wire balloon catheter.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Balloon angioplasty is a key technique used in PCI to dilate stenotic lesions.
Observation:
- Circumferential rupture of a balloon-on-a-wire catheter occurred during dilation of a distal right coronary artery lesion.
- The ruptured balloon became temporarily entrapped within the arterial stenosis.
Findings:
- Successful retrieval of the entrapped balloon was achieved.
- Completion of the lesion dilation was successfully performed using an over-the-wire balloon catheter.
Implications:
- Highlights the potential risk of balloon catheter failure during complex PCI procedures.
- Demonstrates the utility of alternative devices, such as over-the-wire balloon catheters, for successful lesion treatment after device malfunction.
- Underscores the importance of device selection and preparedness for managing intraprocedural complications in interventional cardiology.
Abstract:
While attempting to dilate a distal lesion in a right coronary artery, using a balloon-on-a-wire catheter, circumferential balloon rupture occurred with temporary entrapment of the balloon in the stenosis. The balloon was retrieved, and the dilatation completed, using an over-the-wire balloon catheter.