Management of intraaortic balloon entrapment

Fukushima, Yasunori; Yoshioka, Makoto; Hirayama, Naoteru; Kashiwagi, Takafumi; Onitsuka, Toshio; Koga, Yasunori

doi:10.1016/0003-4975(95)00491-3

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…Fukushima et al 13 describe a case of entrapment within the aorta of a 68-year-old gentleman, where removal was carried out using a guidewire with fluoroscopy via the axillary artery.…”

Section: Discussionmentioning

confidence: 99%

Intra-aortic balloon pump entrapment and surgical removal: a case report

Hardy

Starr

Cosgrave

et al. 2017

European Heart Journal - Case Reports

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Intra-aortic balloon pump (IABP) use following myocardial infarction is now infrequent and reserved for cases of cardiogenic shock. As their use declines, so does our ability to promptly recognize and manage potential problems that may arise. A serious but rare complication of IABP insertion is balloon entrapment within the arterial tree. In this report, we share our experience of a case of balloon entrapment within the right common iliac artery and successful removal of the device via groin cut down under general anaesthesia.

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“…Fukushima et al 13 describe a case of entrapment within the aorta of a 68-year-old gentleman, where removal was carried out using a guidewire with fluoroscopy via the axillary artery.…”

Section: Discussionmentioning

confidence: 99%

Intra-aortic balloon pump entrapment and surgical removal: a case report

Hardy

Starr

Cosgrave

et al. 2017

European Heart Journal - Case Reports

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“…Successfully reported interventions for removing entrapped intra-aortic balloons include pharmacological lysis of thrombus within the lumen of the balloon to allow deflation and removal,34 and open surgical intervention. Retrograde removal of entrapped IABP balloons via an axillary approach has also been described 22 34…”

Section: Discussionmentioning

confidence: 99%

“…Retrograde removal of entrapped IABP balloons via an axillary approach has also been described 22 34…”

Section: Discussionmentioning

confidence: 99%

Limb salvage following iatrogenic arterial injury: complications of cardiac support using intra-aortic balloon pumps

et al. 2016

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This is a unique case report describing complex limb salvage in a patient who experienced acute limb ischaemia due to a complication of intra-aortic balloon pump (IABP) counterpulsation. This case focuses on a patient who had an IABP counterpulsation device inserted following myocardial infarction, requiring urgent coronary artery bypass grafting for acute coronary syndrome. Postoperatively, the IABP could not be removed, with consequent iliac thrombosis and acute limb ischaemia. Emergency femoral-to-femoral crossover bypass was performed using a polytetrafluoroethylene graft. A portion of the IABP balloon tip was entrapped and retained, however, and became the focus of delayed septicaemia, resulting in graft infection and wound breakdown 6 weeks later. Explantation of the residual balloon tip, ligation of the right external iliac artery and redo femoral-femoral crossover using the great saphenous vein were successfully performed.

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“… 9 , 10 Tears can be attributed to design and manufacturing issues, insertion technique, and the atherosclerotic nature of the arteries into which an IABP is introduced. 11 Prevention of IABP entrapment requires avoidance of balloon rupture or leakage, and early detection if it occurs. Excessive angulation or kinking of the IABP catheter significantly increases the risk of balloon rupture.…”

Section: Discussionmentioning

confidence: 99%

Intra-Aortic Balloon Pump Entrapment in a Nonatherosclerotic Common Iliac Artery

Sabzi

Zokaei

Moloudi

et al. 2011

Open�J Cardiovasc Surg

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Use of an intra-aortic balloon pump (IABP) is helpful for maintaining hemodynamic stability in patients with low cardiac output and compromised left ventricular function undergoing coronary artery bypass grafting. Although the incidence of complications has decreased significantly as experience with the device has increased, IABP use still carries a risk of complications. The most common complication is limb ischemia, mainly as a result of IABP entrapment and thromboembolism. Here we report a case of IABP entrapment in a nonatherosclerotic common iliac artery where forced removal caused fracture of the catheter.

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Management of intraaortic balloon entrapment

Cited by 8 publications

References 8 publications

Intra-aortic balloon pump entrapment and surgical removal: a case report

Intra-aortic balloon pump entrapment and surgical removal: a case report

Limb salvage following iatrogenic arterial injury: complications of cardiac support using intra-aortic balloon pumps

Intra-Aortic Balloon Pump Entrapment in a Nonatherosclerotic Common Iliac Artery

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