It was reported via medwatch mw5105145 that balloon detachment occurred, requiring surgery for removal vascular presented for left heart catheterization via the right radial artery.Disease was noted in the mid left anterior descending artery (lad) and the diagonal branch.The physician ballooned the lad five times with a 2.00mm x 20mm emerge push balloon.The 2.5mm x 15mm emerge balloon was advanced without difficulty, no excess force was noted but while moving into the diagonal, the balloon detached in the artery.An attempt was made to snare the balloon but it was unsuccessful.The physician attempted to inflate the balloon in the guide in order to remove the detached balloon but this was also unsuccessful.Inadvertently the 2.00 x 20mm emerge push balloon detached in the guide in the right arm.The patient became hemodynamically unstable and an intra-aortic balloon pump was inserted in right femoral artery.The patient received two stents to the mid lad and a ventricular assist device was inserted and then removed.The patient was transported to a higher level of care for urgent retrieval of the balloons.The patient underwent vascular surgery and both balloons were retrieved.The distal diagonal hematoma was also treated as well as right artery ligation.
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