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


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.


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)


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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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