It was reported that balloon detachment occurred.A 14-6/5.8/75 xxl vascular balloon dilator was inserted into the patient via a intrajugular approach and was successfully inflated.However, when the device was removed from the body after deflation, it was noticed that the shaft snapped at the balloon portion.The device was retrieved via the femoral venous access.No patient complications were reported.
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It was reported that balloon detachment occurred.A 14-6/5.8/75 xxl vascular balloon dilator was inserted into the patient via a intrajugular approach and was successfully inflated.However, when the device was removed from the body after deflation, it was noticed that the shaft snapped at the balloon portion.The device was retrieved via the femoral venous access.No patient complications were reported.It was further reported that the patient target lesion was located in the left common iliac vein.The xxl balloon catheter was used to perform venoplasty post non-bsc stent placement.The balloon was completely deflated and upon removal through the right internal jugular vein, it was noted that the proximal aspect of the balloon catheter was retained with the wire in the iliac vein.Left femoral vein access was then obtained for retrieval of the device fragment.The guidewire that was already in place through the right internal jugular vein access to the left common iliac vein was moved inferiorly and introduced through the sheath placed at the left femoral vein.A non-bsc snare was advanced using the guidewire to grasp the balloon catheter at the distal end.While maintained at the right internal jugular vein, the balloon catheter was cut at the hub.The snare was used to guide the distal end of the balloon catheter through the femoral vein access.The device was completely removed in its entirety, confirmed via venogram.The patient was stable post-procedure with no negative sequelae.It was further reported via medwatch mw5090530 that the patient presented with symptomatic pelvic vein compression.The target lesion was located in the right common iliac vein and proximal external iliac vein.After implanting a 14x100mm non-bsc venous stent, a 14mm x 60mm xxl balloon catheter was advanced for dilitation.After venoplasty was completed, the balloon was deflated.As the device was being pulled into the sheath, without resistance, it was noted that the entire distal tip of the catheter had detached at the proximal end of the balloon portion and had traveled to the pulmonary artery.A 7f snare was able to retrieve most of the detached piece, however, a small fragment of the balloon remained within the right internal jugular vein at the access site extending into the soft tissues of the right supraclavicular area.After several failed attempts to remove the remaining fragment, the patient was sent, in stable condition, via emergency medical services to a hospital where a vascular surgeon could remove the fragment.On follow-up with relatives, it was reported that there was a perforation of the heart presumably related to the passage of the catheter fragment through the right atrium.
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It was reported that balloon detachment occurred.A 14-6/5.8/75 xxl vascular balloon dilator was inserted into the patient via a intrajugular approach and was successfully inflated.However, when the device was removed from the body after deflation, it was noticed that the shaft snapped at the balloon portion.The device was retrieved via the femoral venous access.No patient complications were reported.It was further reported that the patient target lesion was located in the left common iliac vein.The xxl balloon catheter was used to perform venoplasty post non-bsc stent placement.The balloon was completely deflated and upon removal through the right internal jugular vein, it was noted that the proximal aspect of the balloon catheter was retained with the wire in the iliac vein.Left femoral vein access was then obtained for retrieval of the device fragment.The guidewire that was already in place through the right internal jugular vein access to the left common iliac vein was moved inferiorly and introduced through the sheath placed at the left femoral vein.A non-bsc snare was advanced using the guidewire to grasp the balloon catheter at the distal end.While maintained at the right internal jugular vein, the balloon catheter was cut at the hub.The snare was used to guide the distal end of the balloon catheter through the femoral vein access.The device was completely removed in its entirety, confirmed via venogram.The patient was stable post-procedure with no negative sequelae.
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