alexa Intra-aortic Balloon Pump Entrapment in a Transfemoral Sheath:Successful Management with Retrograde Transradial Wiring and Externalization
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

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

Giuseppe Biondi-Zoccai1*, Massimo Mancone2, Antonino GM Marullo1,3, Mariangela Peruzzi1,3, Elena Cavarretta1 and Giacomo Frati1,4
1Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy
2Department of Cardiovascular, Respiratory, Nephrologic and Geriatric Sciences, Sapienza University of Rome, Rome, Italy
3Department of Cardiovascular, Respiratory, Nephrologic and Geriatric Sciences, Sapienza University of Rome, Rome, Italy
4Department of AngioCardioNeurology, IRCCS Neuromed, Pozzilli, Italy
Corresponding Author : Dr. Giuseppe Biondi Zoccai
Department of Medico- Surgical Sciences and Biotechnologies
Sapienza University of Rome
Corso della Repubblica 79
04100 Latina, Italy
E-mail: [email protected]
Received January 27, 2013; Accepted March 12, 2013; Published March 16, 2013
Citation: Zoccai GB, Mancone M, Marullo AGM, Peruzzi M, Cavarretta E, et al. (2013) Intra-aortic Balloon Pump Entrapment in a Transfemoral Sheath:Successful Management with Retrograde Transradial Wiring and Externalization. J Cardiovasc Dis Diagn 1:103. doi: 10.4172/2329-9517.1000103
Copyright: © 2013 Zoccai GB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

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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