ArticleJACC. Case reports2025
Cutting Balloon Blade Fracture in Severe Calcified Lesions During Percutaneous Coronary Intervention.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Calcium modifying dedicated balloons: a contemporary review.Frontiers in cardiovascular medicine · 2026Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCutting balloon (CB) blade fracture is a rare but potentially serious complication that may cause coronary dissection, rupture, or stent extraction. Our understanding of which lesions, procedures, and maneuvers precipitate blade fracture is limited. CASE SUMMARY: We report 3 cases of CB blade fracture during percutaneous coronary intervention. In cases 1 and 2, repeated low- to high-pressure stepwise dilations of short circumferential calcified lesions resulted in dog-bone balloon shape and eventual CB blade fracture. In case 3, dilation of an eccentric calcified lesion up to nominal pressure resulted in the balloon stuck and CB blade fracture. All 3 cases had no complications such as severe coronary dissection or perforation. DISCUSSION: Our cases suggest that, not only high-pressure dilation of the CB to calcified lesions, but also repeated dilation or lesion properties may contribute to CB blade fracture. Interventionalists should be aware of this event when using CB for calcified lesions.
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