Bridge Plus
Occlusion Balloon
Bridge Plus
Occlusion Balloon
A tear in the superior vena cava (SVC) during a lead extraction procedure is rare, occurring in less than 0.5% of cases. [1] But when a tear does occur, every second counts. Bridge Plus Occlusion Balloon deploys in less than 2 minutes [2], stops up to 90% of blood loss [3] and maintains acceptable hemostasis for at least 30 minutes [4] giving you time to stabilize your patient and transition to surgery.
Stabilize and transition to surgery in the event of an SVC tear
Deploy in <2 minutes [2] and stop up to 90% of blood loss [3]
Maintain acceptable hemostasis for at least 30 minutes [4]
Clinical image gallery
- Fluoroscopy of Bridge Plus –Image on file with Philips
- Fluoroscopy of Bridge Plus – Image courtesy of Dr. Kiel, Sentara
- Fluoroscopy of Bridge Plus – Image courtesy of Cleveland Clinic
- Fluoroscopy of Bridge Plus – Image courtesy of Dr. Kiel, Sentara
Features
Maintain control and transition to surgery
Bridge Plus quickly deploys in under 2 minutes [2] so you can swiftly stabilize your patient and smoothly transition to surgery with 30 minutes of acceptable hemostasis. [4] With clear radiopaque markers you can clearly identify your location for accurate balloon placement.
Reduce blood loss and save lives
A 2 cm SVC tear averages blood loss of 500ml/minute. [5] When every second counts, Bridge Plus rapidly occludes and dramatically stops up to 90% of blood loss. [3] As a low pressure, compliant balloon, it can accommodate the full length and diameter of the SVC in 90% of patients. [6]
Empower your lab with an evidence-based solution
Bridge Plus is built on the success of Bridge, trusted in 50,000 cases. [7]* Since Bridge market release, there has been no procedure-related deaths with Bridge usage vs. 12 deaths prior. [8]† And with proper utilization, SVC tear survival has gone from 56.9% to 88.2%. [9]*‡
Specifications
- Product specifications
- Catheter length
- 90 cm
- Balloon diameter: (nominal)
- 20 mm
- Balloon length: (nominal)
- 80 mm
- Maximum OD: (crossing profile)
- 4 mm / 0.157”
- Minimum tip ID
- 0.9 mm/ 0.035”
- Maximum inflation volume
- 60 cc
- Catalog number
- 590-002
- Bridge Prep Kit catalog number
- 591-001
Related products
- Safely and efficiently removing leads depends on tools that give you versatility and control. GlideLight laser sheath offers the unprecedented ability to customize the laser’s repetition rate throughout a procedure. At 80Hz, the GlideLight laser sheath requires up to 55% less advancement force,¹ and advance up to 62% more efficiently through tough binding sites than SLS II.²
- A tear in the Superior Vena Cava (SVC) during a lead extraction procedure is rare, occurring in just 0.5% of cases.¹ But when a tear does occur, the Bridge Occlusion Balloon can be quickly deployed to stem blood loss and allow time for transition to surgical repair.⁵
- When lead removal is the right choice for a patient, the Lead Locking Device (LLD) provides the flexibility and traction needed for safe lead removal. LLD combines the best of the original LLD family and enhanced tip design with ease-of-use features to provide a flexible traction solution for leads targeted for removal.
- With TightRail, flexibility meets unparalleled control. The tool’s flexible shaft helps physicians remain coaxial to the lead. The unique shaft technology maintains forward progression through tortuous vasculature. The dilating blade remains shielded until activated, putting physicians in control and allowing counter-traction at the targeted lead’s distal tip.
Disclaimer
* Cases performed in United States since Bridge launch in 2016
†Prospective data published in Heart Rhythm—covering nearly 5,000 patients
‡ When staging the Bridge Balloon versus when no Bridge balloon is used
Philips medical devices should only be used by physicians and teams trained in interventional techniques, including training in the use of this device. Products subject to country availability. Please contact your local sales representative. Always read the label and follow the directions for use.
[1] Roger G. Carrillo, MD; Darren C. Tsang, BS; Ryan Azarrafiy, BA; Thomas A. Boyle, BS. Multi-Year Evaluation of Compliant Endovascular Balloon in Treating Superior Vena Cava Tears During Transvenous Lead Extraction. EHRA late-breaking trial, March 19, 2018.
[2] Document on file D002023609_A_Bridge M&M Marketing Claims Test Report. Average timed deployment for commercial Bridge was 74.33 seconds and Bridge Plus was 58.33 seconds.
[3] Document on File, D027561 Marketing claims blood loss report for Bridge project 1338 - When deployed, the Bridge Occlusion Balloon reduces blood loss of an SVC tear by 89.7% (α=0.10), on average, in an animal model.
[4] Document on file, D026197 & animal study - NGX028-IS17 - All animals had biological metrics measured for up to 45 minutes during occlusion and 15 minutes post device deployment.
[5] Tsang, D. C., Azarrafiy, R., Pecha, S., Reichenspurner, H., Carrillo, R. G., & Hakmi, S. (2017). Long-term outcomes of prophylactic placement of an endovascular balloon in the vena cava for high-risk transvenous lead extractions. Heart rhythm, 14(12), 1833–1838. https://doi.org/10.1016/j.hrthm.2017.08.003
[6] Document on file, D026203 Engineering Translation Rationale For Bridge, Project #1338 – PR00. The balloon will cover the length and diameter of the SVC in 90% of the population as determined by analysis of 52 patients.
[7] Document on file. LT-002760 Bridge Sales Customers Raw Data.
[8] Watfa, A., Younis, A., Mdaihly, M., Demian, J., Callahan, et.al A.A. (2025, June 26). Role of the Bridge Balloon in Improving Safety of Transvenous Lead Extraction Procedures. Heart rhythm. https://doi.org/10.1016/j.hrthm.2025.06.038.
[9] Bruce L. Wilkoff, MD, FHRS, Roger G. Carrillo, MD, MBA, FHRS, Ryan Azarrafiy, BA, Darren C. Tsang, BS, Thomas A. Boyle, BS. Compliant endovascular balloon reduces the lethality of superior vena cava tears during transvenous lead extractions.
[10] Document on file. LT-002750 REF-00804 Bridge Rescue Data.
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