Jurnal SINTA 1
Trapping Technique for Successful Retrieval of a Ruptured Balloon Catheter Entrapped in Coronary Artery: A Case Report
Heart Science Journal · Vol. 1 No. 2 (2020) · hlm. 43–46
- ISSN
- 2721-9984, 2721-9976
- Terbit
- 2020-07-22
- Penerbit
- Universitas Brawijaya
- Bahasa
- en
Abstrak
Introduction: Device entrapment during PCI is an uncommon complication with incidence of less than 1%. Percutaneous retrieval should be favored as the treatment of choice for this condition.Case Illustration: A 61-year-old patient came for an elective percutaneous coronary intervention (PCI) procedure. She suffered from chest pain while doing moderate activities for 1 month. Angiography showed a diffuse lesion with maximum stenosis 90% in the proximal LAD, stenosis 75% in the proximal of Left Circumflex Artery (LCx), and diffuse lesions in the proximal and mid of the Right Coronary Artery (RCA). We decided to perform PCI in the LAD. A transfemoral coronary intervention was performed using a Judkins Left 3.5 (7F) guiding catheter to engage the LAD. A Guidewire ( Run-through NS Floppy) was advanced to the distal LAD. Balloon angioplasty was performed with a 2.75 x 15 mm Fluydo balloon in the proximal LAD at 16 bars, but the balloon was entrapped and while withdrawing the balloon, it accidentally ruptured in the LAD artery with the remaining segment inside the guiding catheter. A second Run-through NS Floppy Guidewire was inserted across the ruptured balloon and a 2.5 x 20 mm Fluydo Balloon was passed on the second wire and was inflated at 16 atm pressure, inside the guiding catheter, trapping the ruptured balloon. The ruptured balloon was successfully removed, by withdrawing the whole system, including the guiding catheter and the wire. Finally, we re-engaged the LAD with the same guiding catheter, passed the wire, and post dilated the stent on the LAD to achieve a good result.Conclusion: Percutaneous retrieval using trapping technique could represent a safe and effective technique for ruptured and entrapment of a balloon-catheter in a coronary artery.
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- University of Brawijaya
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| Rekan penulis | Organisasi | Artikel bersama |
|---|---|---|
| Setyasih Anjarwani | University of Brawijaya | 45 |
| Anna Fuji Rahimah | University of Brawijaya | 43 |
| Cholid Tri Tjahjono | University of Brawijaya | 41 |
| Ardian Rizal | University of Brawijaya | 38 |
| Novi Kurnianingsih | University of Brawijaya | 33 |
| Djanggan Sargowo | University of Brawijaya | 23 |
| Sasmojo Widito | University of Brawijaya | 23 |
| Yoga Waranugraha | University of Brawijaya | 12 |
| Valerinna Yogibuana | Afiliasi tidak diketahui | 10 |
| Wella Karolina | University of Brawijaya | 9 |
| Muhammad Rizki Fadlan | University of Brawijaya | 9 |
| Hayla Iqda Millisani | University of Brawijaya | 7 |
| Seprian Widasmara | University of Brawijaya | 7 |
| Tri Astiawati | University of Brawijaya | 6 |
| Ayu Asri Devi Adityawati | University of Brawijaya | 6 |
| Valerinna Yogibuana Swastika Putri | University of Brawijaya | 6 |
| Adhika Prastya Wikananda | University of Brawijaya | 5 |
| Tria Yudha Nugraha | University of Brawijaya | 5 |
| Dadang Hendrawan | University of Brawijaya | 5 |
| Fandy Hazzy | University of Brawijaya | 5 |
| Dea Arie Kurniawan | University of Brawijaya | 5 |
| Anna Fuji Rahimah | Afiliasi tidak diketahui | 5 |
| Ratna Pancasari | University of Brawijaya | 5 |
| Lutfi Hafiz Zunardi | University of Brawijaya | 5 |
| Fahmy Rusnanta | University of Brawijaya | 4 |
| Oktafin Srywati Pamuna | University of Brawijaya | 4 |
| Shalahuddin Suryo Baskoro | University of Brawijaya | 4 |
| Nikhen Noverike | University of Brawijaya | 4 |
| Teguh Aryanugraha | University of Brawijaya | 4 |
| Lukitasari Ayu Galuh Ardhi | University of Brawijaya | 3 |
| Yuri Afifah | University of Brawijaya | 3 |
| Akhmad Isna Nurudinulloh | University of Brawijaya | 3 |
| Muhammad Saifur Rohman | Afiliasi tidak diketahui | 3 |
| Saskia Dyah Handari | University of Brawijaya | 3 |
| Dion Setiawan | University of Brawijaya | 3 |
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