title: A rare instructive complication of balloon catheter fracture during percutaneous coronary intervention.
abstract: The entrapment, fracture, and dislodgement of catheterization devices during percutaneous coronary intervention (PCI) are rare complications, for which cardiac surgery is sometimes required. Here, we encountered a rare but instructive case of balloon catheter fracture during PCI. Although there have been some reports of guidewire fracture in PCI, reports on balloon catheter fracture are very rare to our knowledge. A simulation test to examine the mechanism of balloon catheter fracture revealed that overuse of the balloon catheter, both for kissing balloon inflation and balloon anchor, was highly likely to have been the cause of the fracture.
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan. t2-ya@nike.eonet.ne.jp.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Nomura
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Higuchi
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Kato
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors.forename: Natsuya
authors.initials: N
authors.lastname: Keira
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, 25, Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tatsumi
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D057785:Catheters / Q000009:adverse effects*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention
keywords: Balloon catheter fracture; Kissing balloon inflation; Percutaneous coronary intervention