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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

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Authors and Affiliations

  1. Department of Pediatric Cardiology, M4-37A, Cleveland Clinic Children’s Hospital, 9500 Euclid Ave, Cleveland, OH, 44195, USA

    Lourdes R. Prieto & Christopher A. Bellotti

Authors
  1. Lourdes R. Prieto
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  2. Christopher A. Bellotti
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Corresponding author

Correspondence to Christopher A. Bellotti.

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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)

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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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  • DOI: https://doi.org/10.1007/s00246-012-0617-9

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