Stent Balloon Entrapment At Left Main Stem; A Low Resource Setting Approach

Authors

  • Shanike Karunaratne Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy
  • Uditha Hewarathna Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy
  • Naradha Kodithuwakku Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy
  • Srinath Dolapihilla Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy
  • Gnanamoorthy Mayurathan Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy
  • Rosy Jayawardena Department of Cardiology, Teaching Hospital Kandy, Williyam Gopallawa Mawatha, Kandy

DOI:

https://doi.org/10.3126/njh.v12i1.12342

Keywords:

Entrapment, angioplasty balloon, percutaneous coronary intervention, balloon dilation

Abstract

A 60 year old, male patient underwent an elective percutaneous coronary angioplasty and stenting of mid circumflex coronary artery lesion at the origin of second obtuse marginal artery. The bare metal stent deployed in a partially inflated state due to a tight calcific area with subsequent stent balloon entrapment inside the stent by the calcified plaque. It was entrapped entering the left main stem in the partially withdrawn state. With impending surgical retrieval progressive supra burst pressure dilatation attempted to dilate the entrapped segment, final supra burst pressure with successful retrieval. This case highlight the steps to attempt in a low resource setting and final supra burst dilatation of a same stent balloon to overcome an entrapped vessel segment before surgical retrieval options.

DOI: http://dx.doi.org/10.3126/njh.v12i1.12342

Nepalese Heart Journal Vol.12(1) 2015: 31-36

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Published

2015-03-26

How to Cite

Karunaratne, S., Hewarathna, U., Kodithuwakku, N., Dolapihilla, S., Mayurathan, G., & Jayawardena, R. (2015). Stent Balloon Entrapment At Left Main Stem; A Low Resource Setting Approach. Nepalese Heart Journal, 12(1), 31–36. https://doi.org/10.3126/njh.v12i1.12342

Issue

Vol. 12 No. 1 (2015)

Section

Case Reports

License

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