Key result
Emergency surgery retrieves a snapped, inflated balloon from a coronary stent, followed by bypass grafting.
Case Report (n=1)
Emergency surgical retrieval with CABG is a viable management strategy for a broken, inflated angioplasty balloon catheter stuck within an intracoronary stent that cannot be retrieved percutaneously.
May inform bailout strategies for rare balloon entrapment; hypothesis-generating case report requiring further study before adoption.
A 54-year old, hypertensive female patient underwent percutaneous coronary angioplasty (PTCA) followed by stenting of calcified chronic totally occluded right coronary artery. The post dilation balloon catheter got stuck and snapped during manipulations in inflated position within the stent, which could not be retrieved by nonsurgical interventions. Emergency surgery was performed to retrieve the stent along with an inflated balloon, followed by vein patch closure of arteriotomy and reversed saphenous vein graft anastomosis to right coronary artery and left anterior descending artery on cardiopulmonary bypass.
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Waikar et al. (2021) conducted a case report in Calcified chronic totally occluded right coronary artery with stuck inflated balloon catheter (n=1). Emergency surgery (surgical retrieval of stent and inflated balloon, vein patch closure, and CABG) was evaluated on Successful retrieval and revascularization. Emergency surgery successfully retrieved a stuck, snapped, inflated angioplasty balloon catheter from a coronary stent, followed by vein patch closure and bypass grafting.
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