Case 160: Manual of PCI - Blocking balloon

[@francescoleuzzi5668]

Wonderful case! At how many atmospheres should the blocking balloon be inflated, and how long can I leave it inflated? If there are any ECG changes, should I deflate the blocking balloon and wait for the ECG to normalize before attempting again?

[@shangz0216]

Thanks for the educative case presentation.

[@maisamtaherian986]

Thank you very much🌹 can we keep the blocking balloon and use it as an anchor to deliver equipment?

[@manosbrilakis]

Yes, absolutely

[@hifa63]

Many thanks. Very useful

[@amrhanafymahmoud9829]

Excellent presentation. But sir I had seen another application for blocking Ballon in CVC. U was panelist can u explain it

[@manosbrilakis]

I am sorry I am not sure which case you are referring to.

[@ahmedzahran7016]

Excellent case, Can I ask if the LM lesion needs further action and if such a lesion would affect the DPR value just like Aortic stenosis disrupts coronary physiology?

[@manosbrilakis]

No further action needed in the left main - there was no significant step up in the iFR pullback.

[@AA-nz2gb]

Thanks a lot. What was the jailed wire in the SB for? I thought we pull the SB wire before deploying the MB stent?

[@manosbrilakis]

You can definitely remove the wire from the SB before placing the main vessel stent since there is already a stent in the SB, but it can also be left for marking the course of the SB and facilitating main vessel stent delivery. The risk of wire entrapment is very low.

[@tuấnhồ-i6e]

terrific case, I wan to ask: was guide extension being advanced through the Diagonal or LAD wire to help push the balloon through the stent strut? since we have to maintain the LAD wire in DKCrush

[@manosbrilakis]

It was advanced over both wires.