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导管辅助球囊支撑下从冠状动脉取出破裂的半顺应性球囊

Catheter-Assisted Balloon-Supported Retrieval of a Broken Semi-Compliant Balloon from a Coronary Artery.

作者信息

Kunwar Brajesh Kumar, Jain Pranay, Ghogare Mahesh

机构信息

Head, Department of Cardiology, Seven Hills Hospital, Mumbai, Maharashtra, India.

Consultant, Department of Cardiology, Seven Hills Hospital, Mumbai, Maharashtra, India.

出版信息

J Clin Diagn Res. 2017 Mar;11(3):OD06-OD07. doi: 10.7860/JCDR/2017/24775.9580. Epub 2017 Mar 1.

Abstract

Incidents of broken balloon in a coronary vasculature during percutaneous coronary angioplasty are very rare. Such events in cath-lab may create panic and can be life threatening for patients. Hence, immediate retrieval of broken balloon becomes vital. Here, we report an unusual complication of broken balloon in the mid portion of the left anterior descending coronary artery, which had a calcified and totally occluded in-stent restenotic lesion. The broken balloon was retrieved successfully with no eventual complication using a simple catheter-assisted balloon-supported retrieval technique. The present case highlights the need for interventional cardiologist to be acquainted with different retrieval techniques.

摘要

经皮冠状动脉介入治疗期间冠状动脉血管内球囊破裂事件非常罕见。导管室内的此类事件可能引发恐慌,对患者可能构成生命威胁。因此,立即取出破裂球囊至关重要。在此,我们报告一例左前降支冠状动脉中段球囊破裂的罕见并发症,该病变为钙化且完全闭塞的支架内再狭窄病变。使用简单的导管辅助球囊支撑取出技术成功取出破裂球囊,最终未出现并发症。本病例强调了介入心脏病学家熟悉不同取出技术的必要性。

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本文引用的文献

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Left main "Culotte in Culotte" to manage a trapped broken balloon.
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