The Bridge Occlusion Balloon for Venous Angioplasty in Superior Vena Cava Occlusion

Abstract The Bridge Occlusion Balloon is a compliant balloon, specifically designed for temporary Superior vena cava occlusion in case of Superior Vena Cava laceration during lead extraction procedures. We here report the first case, using Bridge Occlusion Ballon for a venous angioplasty in a patient with dysfunctional pacemaker leads and symptomatic Superior Vena Cava occlusion. After successful lead extraction, venography was showing a narrow venous canal. Therefore, venous angioplasty using the Bridge balloon was performed. Especially for high-risk lead extraction cases in patients with Superior Vena Cava stenosis, the Bridge Occlusion Ballon might be used as a combination of a safety-net in case of Superior Vena Cava perforation and for Superior Vena Cava angioplasty.

摘要 桥接封堵球囊（Bridge Occlusion Balloon）是一种顺应性球囊，专为电极拔除术中发生上腔静脉（Superior vena cava）撕裂时临时封堵上腔静脉而设计。本文报道首例采用该桥接封堵球囊治疗起搏器电极功能异常伴症状性上腔静脉闭塞患者的静脉血管成形术病例。成功完成电极拔除后，静脉造影显示静脉管腔狭窄，遂使用该桥接球囊实施静脉血管成形术。尤其针对合并上腔静脉狭窄的高风险电极拔除病例，桥接封堵球囊可兼具上腔静脉穿孔时的安全防护与上腔静脉血管成形术的双重应用价值。