Pecha Simon, Burger Heiko, Castro Liesa, Gosau Nils, Atlihan Gülsen, Willems Stephan, Reichenspurner Hermann, Hakmi Samer
University Heart Center Hamburg Department of Cardiovascular Surgery Hamburg Germany Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Kerckhoff Clinic Bad Nauheim Department of Cardiovascular Surgery Hessen Germany Department of Cardiovascular Surgery, Kerckhoff Clinic Bad Nauheim, Hessen, Germany.
Braz J Cardiovasc Surg. 2019 Jun 1;34(3):368-371. doi: 10.21470/1678-9741-2018-0289.
The Bridge Occlusion Balloon is a compliant balloon, specifically designed for temporary Superior vena cava occlusion in case of Superior Vena Cava laceration during lead extraction procedures. We here report the first case, using Bridge Occlusion Ballon for a venous angioplasty in a patient with dysfunctional pacemaker leads and symptomatic Superior Vena Cava occlusion. After successful lead extraction, venography was showing a narrow venous canal. Therefore, venous angioplasty using the Bridge balloon was performed. Especially for high-risk lead extraction cases in patients with Superior Vena Cava stenosis, the Bridge Occlusion Ballon might be used as a combination of a safety-net in case of Superior Vena Cava perforation and for Superior Vena Cava angioplasty.
桥接封堵球囊是一种顺应性球囊,专门设计用于在拔除导线过程中出现上腔静脉撕裂时临时进行上腔静脉封堵。我们在此报告首例使用桥接封堵球囊对起搏器导线功能障碍且有症状性上腔静脉闭塞的患者进行静脉血管成形术的病例。成功拔除导线后,静脉造影显示静脉管腔狭窄。因此,使用桥接球囊进行了静脉血管成形术。特别是对于上腔静脉狭窄患者的高风险导线拔除病例,桥接封堵球囊可作为上腔静脉穿孔时的安全保障措施以及用于上腔静脉血管成形术。