Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter

This case report describes a quick and safe method to successfully retrieve an undeflatable angioplasty balloon via the transradial access site. The article also presents potential mechanisms of contrast media entrapment and bench tests of guidewire-assisted balloon puncture. After successful stent...

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Main Authors: Gregor Leibundgut, Christian Degen, Florian Riede
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/6252809
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author Gregor Leibundgut
Christian Degen
Florian Riede
author_facet Gregor Leibundgut
Christian Degen
Florian Riede
author_sort Gregor Leibundgut
collection DOAJ
description This case report describes a quick and safe method to successfully retrieve an undeflatable angioplasty balloon via the transradial access site. The article also presents potential mechanisms of contrast media entrapment and bench tests of guidewire-assisted balloon puncture. After successful stent implantation in the proximal right coronary artery in a 74-year-old female patient referred for acute coronary syndrome, the balloon catheter became undeflatable for an unknown reason. Several attempts to burst the balloon in the guide catheter and the aorta failed. After a pullback into the radial artery, the still inflated balloon became stuck again and was unable to be retrieved through the sheath. Finally, transcutaneous puncture and aspiration of contrast media with a 23 gauge syringe needle through the skin in the right forearm allowed deflation and successful removal the balloon.
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publishDate 2018-01-01
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series Case Reports in Cardiology
spelling doaj-art-aeb1023901d6482181c5a7abf2f137be2025-02-03T01:11:14ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/62528096252809Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon CatheterGregor Leibundgut0Christian Degen1Florian Riede2Department of Cardiology, Medizinische Universitätsklinik, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, SwitzerlandDepartement of Internal Medicine, Medizinische Universitätsklinik, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, SwitzerlandDepartment of Cardiology, Medizinische Universitätsklinik, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, SwitzerlandThis case report describes a quick and safe method to successfully retrieve an undeflatable angioplasty balloon via the transradial access site. The article also presents potential mechanisms of contrast media entrapment and bench tests of guidewire-assisted balloon puncture. After successful stent implantation in the proximal right coronary artery in a 74-year-old female patient referred for acute coronary syndrome, the balloon catheter became undeflatable for an unknown reason. Several attempts to burst the balloon in the guide catheter and the aorta failed. After a pullback into the radial artery, the still inflated balloon became stuck again and was unable to be retrieved through the sheath. Finally, transcutaneous puncture and aspiration of contrast media with a 23 gauge syringe needle through the skin in the right forearm allowed deflation and successful removal the balloon.http://dx.doi.org/10.1155/2018/6252809
spellingShingle Gregor Leibundgut
Christian Degen
Florian Riede
Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
Case Reports in Cardiology
title Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
title_full Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
title_fullStr Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
title_full_unstemmed Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
title_short Transcutaneous Puncture of an Undeflatable Coronary Angioplasty Balloon Catheter
title_sort transcutaneous puncture of an undeflatable coronary angioplasty balloon catheter
url http://dx.doi.org/10.1155/2018/6252809
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