Intra-aortic balloon-pump rupture and entrapment

Gk, Brodell; Em, Tuzcu; Weiss, SJ; Simpfendorfer, Conrad

doi:10.3949/ccjm.56.7.740

Cited by 8 publications

(2 citation statements)

References 3 publications

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“…Percutaneous withdrawal using larger sheathes or thrombolytic injection in the balloon has been suggested [6, 7]. In our case thrombolytic injections were not an option, as the balloon and the catheter were damaged in different points during extraction, and injected agents could not reach the entrapped part.…”

Section: Discussionmentioning

confidence: 84%

Intra-Aortic Balloon Pump Rupture and Entrapment

Jahollari¹,

Saraç²,

Özal³

2014

Case Reports in Vascular Medicine

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Intra-aortic balloon pump is used frequently to support a failing myocardium in cardiac patients. Due to the invasive nature of this device, usage is accompanied by consistent risk of complications. Balloon rupture, although it occurs rarely, may lead to entrapment if diagnosis delays. A 78-year male who underwent cardiac surgery experienced balloon rupture and entrapment in the right femoral artery during the postoperative follow-up. Surgical extraction under local anesthesia was performed and the patient had an uneventful course. Fast and gentle solution of the problem is necessary to prevent further morbidity or mortality related to a retained balloon catheter in these delicate patients.

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Section: Discussionmentioning

confidence: 84%

Intra-Aortic Balloon Pump Rupture and Entrapment

Jahollari¹,

Saraç²,

Özal³

2014

Case Reports in Vascular Medicine

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“…Indeed, ease of use and safety represent two important strengths of IABP. Nonetheless, complications still occur with this device, and practitioners should be Entrapment of the IABP balloon is not a novel finding per se, having been reported in several cases, and thus having a non-negligible incidence [8][9][10][11]. For instance, Aydin et al reported on a case of entrapped IABP which remained stuck in the femoral artery after being peeled off from the shaft [12].…”

Section: Discussionmentioning

confidence: 99%

Intra-aortic Balloon Pump Entrapment in a Transfemoral Sheath:Successful Management with Retrograde Transradial Wiring and Externalization

Biondi‐Zoccai¹,

Mancone²,

Marullo³

et al. 2013

J Cardiovasc Dis Diagn

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Mechanical circulatory support by means of Intra-aortic Balloon Pump (IABP) is an established therapeutic means in high-risk patients undergoing coronary revascularization (e.g. due to severe left ventricular systolic dysfunction) or those with cardiogenic shock refractory to medical therapy. Despite its remarkable safety profile, complications during IABP deployment still occur, and may be life-threatening, especially because of the underlying risk of those receiving such device. Indeed, the IABP balloon may occasionally become entrapped in the transfemoral sheath during delivery. We hereby report a case in which IABP entrapment in a transfemoral sheath during initial delivery was successfully managed by means of retrograde wiring with an exchange-length 0.018" guide wire delivered through a transradial sheath. This clinical vignette provides evidence that a simple technical trick (i.e. retrograde tracking of 300 cm guide wire between the IABP shaft and the internal wall of the delivery sheath followed by guide wire externalization) may prove effective and safe in solving this potentially dangerous complication.

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