Browning G G, Barr L, Horsburgh A G
Br Med J (Clin Res Ed). 1984 Jul 14;289(6437):89-91. doi: 10.1136/bmj.289.6437.89.
Failure of a balloon catheter to deflate is not uncommon and prevents its removal. Methods of overcoming the problem include traction, bursting the balloon by overinflation, dissolving it with solvents, puncturing it percutaneously with a needle, or puncturing it with a wire stylet passed through the catheter. All except the last technique have major disadvantages and are of questionable safety. Transcatheter puncture of the balloon was used in 16 patients to remove obstructed balloon catheters without any technical difficulty, distress to the patient, or complication. The procedure is safe, simple, and does not require an anaesthetic. If necessary it could be performed safely by nursing or paramedical staff without the patient having to be admitted to hospital. It is the method of choice for the management of this problem.
球囊导管无法放气的情况并不罕见，这会阻碍其移除。解决该问题的方法包括牵引、过度充气使球囊破裂、用溶剂溶解、经皮用针穿刺或用穿过导管的金属导丝穿刺。除了最后一种技术外，其他所有方法都有严重缺点且安全性存疑。对16例患者采用经导管穿刺球囊的方法来移除堵塞的球囊导管，未遇到任何技术困难、患者痛苦或并发症。该操作安全、简单，无需麻醉。如有必要，护理人员或医护辅助人员可安全地进行此操作，而无需将患者收治入院。这是处理此问题的首选方法。
