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Abrupt Pressure Delivery: A Novel Technique to Retrieve a Ruptured Entrapped Stent Balloon
Samir B Pancholy1, Sanjay Shah2, Aman T Patel2
1The Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA.
JACC. Case Reports
|July 4, 2025
Summary
A novel technique successfully managed a ruptured stent balloon during acute coronary syndrome intervention. This method, using conventional hardware, facilitated stent retrieval and successful treatment, improving patient outcomes.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
Background:
- Acute coronary syndrome (ACS) management involves complex percutaneous coronary intervention (PCI).
- Severe calcified coronary stenoses pose challenges during PCI, increasing complication risks like stent balloon rupture.
Observation:
- During PCI for severe calcified lesions in the left circumflex artery, a stent balloon ruptured.
- The ruptured balloon became entrapped, causing stent deformation, and conventional removal techniques failed.
Findings:
- A novel technique applying abrupt pressure successfully disengaged the ruptured balloon from the deformed stent.
- The deformed stent was subsequently expanded and successfully treated with restenting.
Implications:
- This case presents a simple, effective bailout strategy for stent balloon rupture during PCI using conventional hardware.
- The described technique may enhance procedural success rates in challenging coronary interventions.
