A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty

Cutting balloon angioplasty (CBA) is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadve...

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Main Authors: Praveen Vemula, Jagadeesh K. Kalavakunta, George S. Abela, Milind Karve
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2014/246784
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author Praveen Vemula
Jagadeesh K. Kalavakunta
George S. Abela
Milind Karve
author_facet Praveen Vemula
Jagadeesh K. Kalavakunta
George S. Abela
Milind Karve
author_sort Praveen Vemula
collection DOAJ
description Cutting balloon angioplasty (CBA) is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadvertent extraction of a stent previously deployed in the ramus intermedius coronary branch by a cutting balloon catheter. This required repeat stenting of the same site for an underlying dissection. Even though stent extraction is a rare complication it can be serious due to dissection, perforation, and closure of the artery. Physicians performing coronary artery interventions would need to be aware of this rare and serious complication especially if any difficulty is encountered while withdrawing the cutting balloon. Therefore, after removal, cutting balloon should be examined thoroughly for possible stent dislodgment or extraction when used for “in-stent restenosis.”
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institution Kabale University
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-0c136f1b3b5b4808a053da42d00746602025-02-03T07:25:22ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/246784246784A Rare and Serious Unforeseen Complication of Cutting Balloon AngioplastyPraveen Vemula0Jagadeesh K. Kalavakunta1George S. Abela2Milind Karve3Department of Medicine, Division of Cardiology, Michigan State University College of Human Medicine, East Lansing, MI, USADepartment of Medicine, Division of Cardiology, Michigan State University College of Human Medicine, East Lansing, MI, USADepartment of Medicine, Division of Cardiology, Michigan State University College of Human Medicine, East Lansing, MI, USADivision of Cardiology, Sparrow Health System, Lansing, MI, USACutting balloon angioplasty (CBA) is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadvertent extraction of a stent previously deployed in the ramus intermedius coronary branch by a cutting balloon catheter. This required repeat stenting of the same site for an underlying dissection. Even though stent extraction is a rare complication it can be serious due to dissection, perforation, and closure of the artery. Physicians performing coronary artery interventions would need to be aware of this rare and serious complication especially if any difficulty is encountered while withdrawing the cutting balloon. Therefore, after removal, cutting balloon should be examined thoroughly for possible stent dislodgment or extraction when used for “in-stent restenosis.”http://dx.doi.org/10.1155/2014/246784
spellingShingle Praveen Vemula
Jagadeesh K. Kalavakunta
George S. Abela
Milind Karve
A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
Case Reports in Cardiology
title A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
title_full A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
title_fullStr A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
title_full_unstemmed A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
title_short A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty
title_sort rare and serious unforeseen complication of cutting balloon angioplasty
url http://dx.doi.org/10.1155/2014/246784
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