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자료유형
학술저널
저자정보
Young Min Han (Chonbuk National University Medical School Jeonju Korea) 김건영 (전북대학교병원) Byeoung Hoon Chung (Chonbuk National University Medical School Jeonju Korea) Hee Chul Yu (Chonbuk National University Medical School Jeonju Korea) Kyung Hwa Kim (Chonbuk National University Medical School Jeonju Korea) Hong Pil Hwang (Chonbuk National University Medical School Jeonju Korea)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.35 No.4
발행연도
2019.1
수록면
245 - 250 (6page)

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Percutaneous transluminal angioplasty is a well-known treatment for arteriovenous fistula stenosis. Balloon rupture during endovascular procedures is a rare but possible complication. The bursting balloon itself does not cause a serious problem, but it can occasionally cause entrapment, especially in case of breakdown of the balloon catheter tip. Here, we present four cases of balloon rupture during angioplasty in the hemodialysis circuit. In three cases, the ruptured balloon catheter was removed by cutdown of access conduit, while in one case, tip of ruptured balloon catheter was migrated into the pulmonary artery and was removed surgically. The operator must attempt to reduce the risk of balloon rupture by gradually expanding the balloons under bursting pressure. If the balloon bursts, it should not be removed excessively and attempt should be made to remove it using endovascular techniques. Surgical removal is considered after careful evaluation of the condition of the balloon and vessel.

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