Related Experiment Videos
Coronary occlusion after failed closure of coronaro-pulmonary fistula with detachable balloon
1Cardiology Center, University Hospital, Geneva, Switzerland.
Catheterization and Cardiovascular Diagnosis
|December 1, 1989
Insights
A detachable balloon intended for fistula occlusion dislodged, blocking the right coronary artery. The dislodged balloon was successfully retrieved using suction and a guiding catheter during coronary angioplasty.
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Medical device technology
Background:
- Coronary artery fistulas are abnormal connections between the right coronary artery and pulmonary trunk.
- Occlusion is a common treatment for such fistulas.
- Detachable balloons are used for embolization procedures.
Observation:
- A detachable balloon was deployed to occlude a right coronary artery-pulmonary trunk fistula.
- The balloon dislodged from its intended position.
- The dislodged balloon occluded the right coronary artery.
Findings:
- Successful retrieval of the dislodged balloon was achieved using suction.
- A guiding catheter designed for coronary angioplasty facilitated the retrieval.
- This case highlights a potential complication of detachable balloon embolization.
Implications:
- Emphasizes the need for careful technique and device selection in fistula occlusion.
- Demonstrates the feasibility of retrieving dislodged embolization devices.
- Informs procedural safety protocols for interventional cardiology.
Abstract:
An attempt to occlude a fistula between the right coronary artery and the pulmonary trunk with a detachable balloon resulted in balloon dislodgment and occlusion of the right coronary artery. The dislodged balloon could be retrieved by suction with the help of a guiding catheter for coronary angioplasty.