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Balloon catheter occlusion of the ascending aorta
The Annals of Thoracic Surgery
|May 1, 1983
Insights
Dense aortic calcification poses risks during cardiac surgery. A Foley balloon catheter was used to occlude the ascending aorta, preventing injury and embolization in two bypass grafting patients.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Aortic Disease
Background:
- Dense calcification in the ascending aorta presents significant risks during cardiac operations.
- Aortic cross-clamping or partial clamping can lead to aortic injury and distal embolization in calcified aortas.
Observation:
- A novel technique involving occlusion of the ascending aorta with a Foley balloon catheter was employed.
- This method was utilized in two patients undergoing aortocoronary bypass grafting.
Findings:
- The Foley balloon catheter effectively occluded the ascending aorta in the observed cases.
- The technique aimed to mitigate risks associated with aortic manipulation in calcified vessels.
Implications:
- This Foley catheter occlusion technique may offer a safer alternative for managing ascending aorta manipulation in patients with severe calcification.
- Further investigation into this method could enhance patient safety during complex cardiac procedures.
- This approach could reduce the incidence of embolic events and surgical complications in high-risk patients.
Abstract:
Dense calcification of the ascending aorta predisposes to aortic injury and distal embolization when the aorta is cross-clamped or partially clamped in the performance of cardiac operations. We occluded the ascending aorta with a Foley balloon catheter in 2 patients undergoing aortocoronary bypass grafting. The technique used is described in this report.