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Case Reports in Cardiology
Volume 2014, Article ID 246784, 4 pages
http://dx.doi.org/10.1155/2014/246784
Case Report

A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty

1Department of Medicine, Division of Cardiology, Michigan State University College of Human Medicine, East Lansing, MI, USA
2Division of Cardiology, Sparrow Health System, Lansing, MI, USA

Received 18 November 2013; Accepted 19 February 2014; Published 23 March 2014

Academic Editors: T. Kasai and K. Shimada

Copyright © 2014 Praveen Vemula et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cutting balloon angioplasty (CBA) is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadvertent extraction of a stent previously deployed in the ramus intermedius coronary branch by a cutting balloon catheter. This required repeat stenting of the same site for an underlying dissection. Even though stent extraction is a rare complication it can be serious due to dissection, perforation, and closure of the artery. Physicians performing coronary artery interventions would need to be aware of this rare and serious complication especially if any difficulty is encountered while withdrawing the cutting balloon. Therefore, after removal, cutting balloon should be examined thoroughly for possible stent dislodgment or extraction when used for “in-stent restenosis.”