Coronary arterial perforation continues to be challenging task . There are multiple options to arrest the perforation as listed below.
Image source Ref : 1
Still, we don’t have a quick balloon occlusion strategy that maintains antegrade flow. Here is a new innovation, a circumferentially inflating balloon (like an airbag or a parachute from the catheter) that can maintain the antegrade flow. This may be vital in salvaging or preventing a myocardial infarction. This balloon catheter is named the Ringer balloon, manufactured by Teleflex. ( _K_andzari DE, Alqarqaz M, Nicholson. et al J Soc Cardiovasc Angiogr Interv.2025 Jul 22;4(7):103575. doi: 10.1016/j.jscai.2025. )
Source : Teleflex website
Reference
1.Perforation-management ,A review article Molly Silkowski, Anbukarasi Maran, -An assessment of balloon tamponade, Ringer balloon, covered stents, coils, and thrombin.
Dr.S.Venkatesan MD 