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A rare instructive complication of balloon catheter fracture during percutaneous coronary intervention

Tetsuya Nomura1, Yusuke Higuchi2, Taku Kato2

  • 1Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan. t2-ya@nike.eonet.ne.jp.

Cardiovascular Intervention and Therapeutics
|February 25, 2015
PubMed

Insights

Balloon catheter fracture during percutaneous coronary intervention (PCI) is a rare complication. Overuse, particularly with kissing balloon inflation and balloon anchoring, likely causes balloon catheter failure during PCI.

Area of Science:

  • Interventional Cardiology
  • Medical Device Engineering

Background:

  • Percutaneous coronary intervention (PCI) involves catheterization devices, with rare complications like entrapment or fracture.
  • Cardiac surgery may be necessary for managing these rare device complications.

Observation:

  • A unique case of balloon catheter fracture during PCI is presented.
  • Such balloon catheter fractures are exceptionally rare in medical literature.

Findings:

  • Simulation testing investigated the mechanism of balloon catheter fracture.
  • Overuse of the balloon catheter, specifically for kissing balloon inflation and balloon anchoring, was identified as a probable cause.

Implications:

  • Understanding fracture mechanisms can improve PCI safety protocols.
  • This case highlights the need for careful device management during complex PCI procedures.

Keywords:
Balloon catheter fractureKissing balloon inflationPercutaneous coronary intervention

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