Key result
Balloon inflation resolves device entrapment during PCI, avoiding emergent surgery.
Why the study?
Device entrapment is a rare but hazardous complication of percutaneous coronary intervention with limited management options after failed retrieval devices.
Case Report (n=1)
Device entrapment during PCI is a rare but potentially fatal complication that may require emergent surgery if retrieval or inflation fails.
Balloon inflation may bailout device entrapment during PCI without surgery; single case leaves open need for systematic evaluation.
Device entrapment is a rare complication of percutaneous coronary intervention. It has hazardous potentials for the patient. Emergent cardiac surgery is the only option after failure of retrieval devices. We have described here a case of a 55 years old male. During percutaneous coronary intervention, the balloon inflated only partially at its ends and entrapped in the lesion along with the stent. Multiple attempts at inflation failed and the patient developed severe chest pain for few minutes. Surgery was contemplated but final attempt at inflation was successful and the patient stabilized. It was an emergent situation and could have led to fatal outcome, although this patient escaped narrowly from any fatal outcome.
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Rehman et al. (2011) conducted a case report in Device entrapment during percutaneous coronary intervention (n=1). Percutaneous coronary intervention was evaluated on Device entrapment resolution. A 55-year-old male experienced device entrapment during percutaneous coronary intervention, which was successfully resolved with a final attempt at balloon inflation, avoiding emergent surgery.
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