AI Article Synopsis
- Percutaneous transluminal angioplasty is used to treat narrowing of arteriovenous fistulas, and although balloon ruptures during the procedure are rare, they can occur.
- In a study, four cases of balloon rupture were reported, with three successfully managed through the cutdown method and one requiring surgical removal after the balloon migrated to the pulmonary artery.
- Operators are advised to minimize the risk of ruptures by expanding balloons slowly, and if a rupture happens, they should attempt to remove it using endovascular methods before considering surgical intervention.
Article 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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941773 | PMC |
| http://dx.doi.org/10.5758/vsi.2019.35.4.245 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!