Rupture, Breakdown, and Pulmonary Artery Embolism of a Balloon Catheter Tip during Percutaneous Transluminal Angioplasty of Arteriovenous Fistula
10.5758/vsi.2019.35.4.245
- Author:
Young Min HAN
1
;
Kun Yung KIM
;
Byeoung Hoon CHUNG
;
Hee Chul YU
;
Kyung Hwa KIM
;
Hong Pil HWANG
Author Information
1. Department of Radiology, Research Institute for Clinical Medicine, Biomedical Research Institute, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
- Publication Type:Case Report
- Keywords:
Angioplasty;
Breakdown;
Arteriovenous fistula
- MeSH:
Angioplasty;
Arteriovenous Fistula;
Catheters;
Constriction, Pathologic;
Embolism;
Endovascular Procedures;
Pulmonary Artery;
Renal Dialysis;
Rupture
- From:Vascular Specialist International
2019;35(4):245-250
- CountryRepublic of Korea
- Language:English
-
Abstract:
Percutaneous transluminal angioplasty is a well-known treatment for arteriovenous fistula stenosis. Balloon rupture during endovascular procedures is a rare but possible complication. The bursting balloon itself does not cause a serious problem, but it can occasionally cause entrapment, especially in case of breakdown of the balloon catheter tip. Here, we present four cases of balloon rupture during angioplasty in the hemodialysis circuit. In three cases, the ruptured balloon catheter was removed by cutdown of access conduit, while in one case, tip of ruptured balloon catheter was migrated into the pulmonary artery and was removed surgically. The operator must attempt to reduce the risk of balloon rupture by gradually expanding the balloons under bursting pressure. If the balloon bursts, it should not be removed excessively and attempt should be made to remove it using endovascular techniques. Surgical removal is considered after careful evaluation of the condition of the balloon and vessel.
