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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Format: | Article |
Language: | English |
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Wiley
2014-01-01
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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.” |
format | Article |
id | doaj-art-0c136f1b3b5b4808a053da42d0074660 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
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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