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Shivanand Patil1, Natraj Setty1, Rangaraj Ramalingam1

  • 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.

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A simple balloon method successfully retrieved fractured cardiac devices in 75% of cases, offering a safe and cost-effective retrieval technique for interventional cardiologists.

Keywords:
balloon mitral valvotomybroken stent shaftdetached post-dilation balloonpercutaneous retrievaluncoiled guidewire

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Area of Science:

  • Interventional Cardiology
  • Medical Device Retrieval

Background:

  • Fracture or dislodgement of cardiac devices like catheters, guidewires, balloons, and stents during interventions is rare but serious.
  • Prompt retrieval of these fragments is critical to prevent life-threatening patient complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of a simple balloon method for retrieving dislodged or fractured cardiac devices.
  • To share observations and insights on this retrieval technique for interventional cardiologists.

Main Methods:

  • A retrospective study of eight patients who experienced device dislodgement/fracture during cardiac interventions.
  • Application of a simple balloon method for hardware retrieval in cases involving balloons, stents, and guidewires.

Main Results:

  • Successful retrieval of fractured/dislodged cardiac devices using the balloon method in six out of eight patients (75%).
  • No additional retrieval hardware was required in successful cases.
  • No major complications were observed in any patient during the retrieval procedures.

Conclusions:

  • The balloon-assisted retrieval method is a safe, simple, and cost-effective approach for managing fractured cardiac devices.
  • This technique can help avoid serious complications such as endothelial injury, myocardial infarction, and the need for emergency surgery.
  • The study provides valuable information on retrieval techniques for interventional cardiologists facing similar clinical scenarios.