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Case Studies | Cardiology Science | India | Volume 13 Issue 1, January 2024 | Rating: 4.9 / 10
An Unusual Complication of Percutaneous Transluminal Coronary Angioplasty - Case Study of an Entrapped Coronary Angioplasty Balloon and its Management
Dolly Mathew [8] | Shivendrran Madhurai Shanmugasundaram [2]
Abstract: 61 years old male admitted with Acute coronary syndrome, Non ST Elevation Myocardial Infarction in outside hospital and had done coronary angiogram for him. Coronary angiogram showed LAD - D1 bifurcation disease (medina 1 - 1 - 1). PTCA was done to Left Anterior Descending Artery. Post dilation resulted in entrapment of inflated balloon resulting in stuck balloon in LAD and compromising LAD flow. Patient was referred to our hospital for further management. Patient was prepared for CABG as the balloon could notbe retrieved out . As the CABG was taking some time to get the slot we proceeded with Various attempts like Snaring of Balloon, deflation of stuck balloon etc, was done which were unsuccessful. Finally LAD could be wired through the side of the stuck balloon and another NC balloon was used which plastered the stuck balloon into the arterial wall reestablishing TIMI iii flow in LAD and losing Diagonal flow. Finally LAD was stented and maintained TIMI iii flow In LAD. Post procedure patient was stable.
Keywords: Stuck Balloon, NC Balloon - Non compliant balloon, PTCA - Percutaneous transluminal coronary angioplasty
Edition: Volume 13 Issue 1, January 2024,
Pages: 1724 - 1726