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Percutaneous removal of a surgically inserted intra-aortic balloon catheter
1Division of Cardiothoracic Surgery, St. Jude Medical Center, Fullerton, California, USA.
Insights
This study presents a safe, sheathless technique for intra-aortic balloon catheter insertion and removal. This method simplifies procedures and allows patients immediate mobility, reducing vascular complications.
Area of Science:
- Vascular Surgery
- Cardiovascular Interventions
Background:
- Intra-aortic balloon pump (IABP) insertion typically requires a large sheath.
- Vascular complications can arise from IABP insertion and removal.
Purpose of the Study:
- To describe a simple and safe technique for open sheathless insertion and percutaneous removal of an intra-aortic balloon catheter.
- To evaluate the feasibility and safety of this novel approach.
Main Methods:
- Open sheathless insertion of the intra-aortic balloon catheter via the common femoral artery or external iliac artery.
- Percutaneous removal of the catheter at the bedside.
Main Results:
- The technique allows for insertion through either the common femoral or external iliac artery.
- External iliac artery access is beneficial for patients with small vessels or peripheral vascular disease.
- Percutaneous removal was successful without hematoma or late vascular complications.
- Patients could resume immediate mobility post-removal.
Conclusions:
- The described sheathless technique offers a safe and simple alternative for intra-aortic balloon catheter procedures.
- This method minimizes vascular complications and facilitates early patient mobilization.
Abstract:
A simple and safe technique of open sheathless insertion and percutaneous removal of an intra-aortic balloon catheter is described. The insertion can be performed through the common femoral artery or, when necessary, through the external iliac artery. The latter is particularly useful in patients with small-caliber vessels and/or peripheral vascular disease. Percutaneous removal has been performed at the bedside without hematoma formation or late vascular complications allowing patients to resume immediate mobility.