Per rn description: armada 35 pta catheter detached within patient.The balloon was inflated then deflated and when doctor was moving the device out it snapped apart leaving half of the balloon inside the patient.The balloon was able to be removed.Per md: the patient did have an occlusion of the innominate vein with small collaterals filling that region.The decision was made to intervene.We upsized the sheath to a 7-french sheath and crossed the lesion with a berenstein catheter as well as a glidewire.After this was crossed, we then used a 6 x 200 mm armada balloon to balloon the entire region.We then used an 8 x 80 armada balloon without good success and we upsized to a 10 x 60 armada balloon.The armada balloon was taken down, and while withdrawing the armada balloon, the proximal portion of the balloon became disrupted and was only partially removed.The remaining distal portion was still on the wire.We then upsized the sheath to a 10-french sheath and used buddy wire technique to snare the rosen wire and removed the entire apparatus.We then placed pressure over the wound, used 4-0 monocryl to close the subcuticular layer over this and we applied venous pressure for greater than 15 minutes.This was then hemostatic.The balloon was evaluated and all the balloon was removed after the snare technique.
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