[Rupture and fragmentation of a polyethylene terephthalate balloon catheter in a calcified coronary artery stenosis].
We report a case of rupture and fragmentation of a PET-balloon catheter during percutaneous transluminal coronary angioplasty of a calcified LAD-obstruction. When the insufflation pressure was increased to 12 atm, the balloon ruptured. During withdrawal of the balloon catheter the tip of the shaft and a fragment of the balloon tore off and remained within the atheroma. Emergency operation was necessary to remove the fragments and to prevent a large myocardial infarction. Although this is an unusual complication of PTCA, care should be taken when PET-balloon catheters are used in calcified coronary obstructions.
Schräder
R
R
Abteilung für Kardiologie, J.-W.-Goethe-Universität, Frankfurt am Main.
Krause
E
E
Blum
U
U
Kober
G
G
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002114:Calcinosis / Q000628:therapy*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D004630:Emergencies; D004691:Endarterectomy; D004868:Equipment Failure; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D011093:Polyethylene Terephthalates
D011093:Polyethylene Terephthalates
Ruptur und Abriss eins PET-Ballonkatheters in einer verkalkten Koronararterienstenose.