Credit: Original article published here.
In this episode of Practice Tips, Dr. Hady Lichaa outlines the balloon puncture access technique, which is applicable to any situation where the operator is facing difficulty accessing a diseased or sclerosed vessel. The access is facilitated by the inflation of a balloon at the desired access location. The balloon is delivered from an alternative access site which is either too small for the delivery of the rest of the gear or too distant from the treatment zone.
Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI, is an assistant professor of medicine at the University of Tennessee College of Medicine, and an interventional cardiologist specializing in complex coronary interventions. Dr. Lichaa is a content partner for DocWire News and contributes interventional content several times per month to DocWire News.
Watch previous installments of this series:
- Using Ultrasound to Gain Vascular Access
- Simplifying Coronary Bifurcation
- Ulnar Artery Access and Occlusion Management
- Overcoming Arteria Lusoria
- The Buddy Wire Paradox
- Perforated Balloon No Reflow
- Catheter Telescoping Technique to Overcome Vessel Tortuosity
- Alternative Arterial Access in CLI
- Reversing Patient Cranial Caudal Position
- Optimal CO2 Imaging
- The Coronary Live IVUS Technique
- Antegrade Superficial Femoral Artery Access and Closure
- IVUS Guided Re-Entry
- The Importance of Identifying the Inguinal Ligament by Ultrasound
- How to Access the Right Pulmonary Artery for Endovascular Pulmonary Interventions
- The Live IVUS Stenting Technique