Chang Wei-Ting, Chen Ju-Yi, Li Yi-Heng, Tsai Liang-Miin, Lee Cheng-Han
Division of Cardiology, National Cheng Kung University Hospital, Tainan, Taiwan.
Division of Cardiology, National Cheng Kung University Hospital, Tainan, Taiwan.
J Formos Med Assoc. 2015 Nov;114(11):1135-9. doi: 10.1016/j.jfma.2013.05.008. Epub 2013 Jun 18.
The entrapment of a ruptured catheter balloon during percutaneous coronary intervention (PCI) is rare, but it can lead to life-threatening complications, such as myocardial infarction (MI) and lethal arrhythmias. Ruptured balloon entrapment usually occurs in either tortuous, calcified, or angulated coronary lesions without adequate balloon deflation. The avoidance of drastic balloon pull-out and the use of appropriate catheter-based retrieval techniques could prevent surgical intervention. Herein, we describe two cases of ruptured coronary balloon entrapment during emergency or elective PCI. We successfully removed the ruptured and entrapped balloons through nonsurgical techniques. Coronary interventionists should be aware of the possibility of balloon entrapment during complex coronary interventions; they should also become familiar with nonsurgical catheter-based methods for the retrieval of ruptured and entrapped balloons.
经皮冠状动脉介入治疗（PCI）期间破裂导管球囊的嵌顿很少见，但可能导致危及生命的并发症，如心肌梗死（MI）和致命性心律失常。破裂球囊嵌顿通常发生在迂曲、钙化或成角的冠状动脉病变中，且球囊未充分放气。避免剧烈牵拉球囊并使用适当的基于导管的取出技术可防止手术干预。在此，我们描述两例急诊或择期PCI期间冠状动脉球囊破裂嵌顿的病例。我们通过非手术技术成功取出了破裂并嵌顿的球囊。冠状动脉介入医生应意识到在复杂冠状动脉介入治疗期间球囊嵌顿的可能性；他们还应熟悉基于导管的非手术方法，用于取出破裂并嵌顿的球囊。
