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Balloon-Assisted Techniques for Advancing Long Sheaths Through Difficult Anatomy

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Abstract

We describe two balloon-assisted techniques to facilitate the advancement of large, long sheaths through freshly placed stents or tortuous anatomy. The first technique uses a balloon inflated while partially housed within the sheath to help clear an edge, thus offering resistance. The second uses an angioplasty balloon inflated in a distal pulmonary artery branch to better anchor the wire while advancing the sheath through a tortuous path. The techniques are illustrated by the cases of four patients, including two undergoing Melody valve (Medtronic, Minneapolis, MN) implantation.

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References

  1. 1.

    Pac FA, Kibar E, Polat TB, Topaloglu S (2010) Pneumopericardium due to long sheath during transcatheter closure of PFO. Images Paediatr Cardiol 3:1–2

  2. 2.

    Recto MR, Ing FF, Grifka RG, Nihill MR, Mullins CE (2000) A technique to prevent newly implanted stent displacement during subsequent catheter and sheath manipulation. Catheter Cardivasc Interv 49:297–300

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Author information

Correspondence to Christopher A. Bellotti.

Electronic supplementary material

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Movie 1 Flouroscopic run of 12F sheath advancing past the stent edge using the bumper-balloon technique with an OPTA Pro balloon (10 mm × 2 cm)

Movie 1 Flouroscopic run of 12F sheath advancing past the stent edge using the bumper-balloon technique with an OPTA Pro balloon (10 mm × 2 cm)

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Prieto, L.R., Bellotti, C.A. Balloon-Assisted Techniques for Advancing Long Sheaths Through Difficult Anatomy. Pediatr Cardiol 34, 1125–1129 (2013). https://doi.org/10.1007/s00246-012-0617-9

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Keywords

  • Cardiac catheterization
  • Congenital
  • Stents