Case 8: PCI Manual - Angiosculpt balloon fracture

An attempt was made to recanalize a heavily calcified balloon undilatable lesion. Attempts to deliver an Angiosculpt balooon failed and the balloon became entrapped in the proximal right coronary artery. During attempts to retrieve it the balloon fractured with a portion remaining inside the RCA. IVUS demonstrated that part of the balloon was inside the guide catheter. Another balloon was inflated inside the guide catheter "trapping" the Angiosculpt fragment and both the guide and the fractured balloon were successsfully retrieved.

[@user-el3rb1ny1n]

To stop in time...is the best way for avoid complications

[@shangz0216]

Thanks for your sharing.

[@boole_cat]

great!

[@bouzidahmed7212]

great , i would like to ask about the risk of dissection induced distally by the effects of both distal balloon and the second wire (scoring like effect ) in the distal anchoring technique , thank you

[@manosbrilakis]

Great question: there is always a risk for distal vessel injury, that is why it is best to inflate the distal anchor balloon inside the target lesion (as was done in this case). In this case the scoring effect was actually desirable, since the lesion was balloon undilatable. If there is no lesion distally would inflate at lower pressure (6-10 atm).

[@bouzidahmed7212]

thank you