Balloon-Related Complications in Coronary Angiography: Navigating the Perils of Aggressive Interventions

Abstract

Background: In the realm of interventional cardiology, the pursuit of procedural perfection often confronts clinicians with the challenge of balancing efficacy with patient safety. This case report sheds light on the potential hazards of aggressive post-dilatation techniques in coronary angiography, emphasizing the imperative of recognizing and managing balloon-related complications promptly to ensure optimal patient outcomes.

Case Presentation: A 70-year-old female presented with Non-ST Segment Elevation Myocardial Infarction (NSTEMI) and triple vessel coronary artery disease (3VCAD), necessitating multi-vessel percutaneous coronary intervention (PCI). Despite successful intervention in the right coronary artery (RCA), complications arose during PCI to the left anterior descending artery (LAD), highlighting the risks associated with aggressive procedural approaches.

Management & Results: Following unsuccessful post-dilatation attempts in the LAD, the patient experienced severe chest pain and hemodynamic instability, necessitating emergent measures to avert catastrophic outcomes. Prompt recognition and management of balloon-related complications facilitated the stabilization of the patient, ultimately culminating in a trajectory of satisfactory recovery with resolution of symptoms.

Conclusion: This case underscores the importance of exercising caution in the pursuit of procedural perfection, particularly in the context of coronary interventions. Balancing the imperative of achieving optimal procedural outcomes with the paramount goal of ensuring patient safety is pivotal in navigating the complexities inherent to interventional cardiology practice. Embracing a philosophy that acknowledges the limitations of aggressive techniques and prioritizes patient well-being lays the foundation for enhanced clinical outcomes and improved quality of care.