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Pediatric Cardiology

, Volume 34, Issue 5, pp 1125–1129 | Cite as

Balloon-Assisted Techniques for Advancing Long Sheaths Through Difficult Anatomy

  • Lourdes R. Prieto
  • Christopher A. BellottiEmail author
Original Article

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.

Keywords

Cardiac catheterization Congenital Stents 

Supplementary material

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)

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 3:1–2CrossRefGoogle Scholar
  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 49:297–300CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Pediatric Cardiology, M4-37ACleveland Clinic Children’s HospitalClevelandUSA

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