Balloon rupture, 26mm - 1cc for area 425-440, moderate at most calcium. Heard about this but have not had it happen. My step-by-step: @IvanHansonMD @amrabbasmd @LuaySayed @sean_stewartmd @noon_boiler55 @dhrosenbaum #CardioTwitter
1/assess valve stability, is it fully deployed/secure?
2/assess patient stability, annular rupture/effusion?
3/get fractured balloon out of ventricle, 👁 as 👃cone comes through valve, likely winged and plastic is rigid. Prepare to snare from contralateral to deflect if needed
2/assess patient stability, annular rupture/effusion?
3/get fractured balloon out of ventricle, 👁 as 👃cone comes through valve, likely winged and plastic is rigid. Prepare to snare from contralateral to deflect if needed
4/get balloon into sheath. DO NOT FORCE, this will mushroom the edge of the e-sheath and significant complicate removal of system. Try to twist delivery system to resheath the balloon
For this case, the 👃cone would not resheath and started splitting the expandable portion
For this case, the 👃cone would not resheath and started splitting the expandable portion
5/pulled the entire system back to the common iliac - this straightened the sheath and balloon and allowed it to pass into the sheath.
6/larger sheaths on standby as well as 🎈/covered stents in case of injury to iliac/femorals
In this case, closure was unremarkable. Whew 😮💨
6/larger sheaths on standby as well as 🎈/covered stents in case of injury to iliac/femorals
In this case, closure was unremarkable. Whew 😮💨
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