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Aortic balloon entrapment complicating intra-aortic balloon counterpulsation
G Babatasi1, M Massetti, S Bhoyroo
1Thoracic and Cardiovascular Surgery Department, University Hospital CHU Caen Côte de Nacre, France.
ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|September 30, 1999
Summary
Intra-aortic balloon (IAB) entrapment can occur during short-term counterpulsation. Prompt IAB removal is crucial if blood appears in the console tubing, regardless of device function.
Area of Science:
- Cardiovascular Surgery
- Medical Device Complications
Background:
- Intra-aortic balloon (IAB) counterpulsation is used to support patients with low ejection fraction.
- Video-coronary artery bypass grafting (CABG) can be performed using a beating heart technique.
Observation:
- A patient undergoing beating heart CABG developed intra-aortic balloon entrapment four days after IAB insertion.
- The IAB was implanted due to preoperative low ejection fraction.
Findings:
- No limb ischemia was observed despite the IAB entrapment.
- The presence of blood in the IAB console tubing indicated the need for urgent catheter removal.
Implications:
- This case highlights a potential complication of short-term IAB use.
- Early detection of IAB entrapment, indicated by blood in the tubing, is critical for patient safety.
- Guidelines for managing IAB entrapment during cardiac surgery require careful consideration.