Optical coherence tomography visualisation of burst balloon catheter trapped by coronary stent

EuroIntervention 2016;12:757. DOI: 10.4244/EIJV12I6A121

Tetsuro Shimura
Tetsuro Shimura1, MD; Masamichi Takano1*, MD, PhD; Takahiro Imaizumi2, MD, PhD; Akihiro Tabata2, MD; Yoshihiko Seino1, MD, PhD; Wataru Shimizu3, MD, PhD
1. Cardiovascular Center, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan; 2. Department of Cardiology, Kobayashi Hospital, Kitami, Japan; 3. Department of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan

A 69-year-old man with prior anterior myocardial infarction underwent percutaneous coronary intervention for significant stenosis of the left anterior descending (LAD) artery. High-pressure inflation by non-compliant balloon was required because of severe calcification in the culprit lesion. The balloon ruptured during inflation and an angiographic filling defect appeared in the LAD. The balloon catheter was pulled out of the body and the tip and membranous part of the catheter was lost (Panel A, black arrowhead). Although we attempted to retrieve the foreign body in the LAD using a gooseneck snare, grasping the small fragment was impossible. Then we ...

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Coronary interventionsOther coronary interventionsCalcified lesions
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