Prevention of Possible Embolus Following Intra Aortic Balloon Counterpulsation (IABP) Insertion by Transesophageal Echocardiography ( TEE )
نویسندگان
چکیده
Severe atherosclerosis of the descending aorta is directly related to atheroembolic events. Transesophageal echocardiography (TEE) is a sensitive technique for evaluating such atheroma plaques of the thoracic aorta which may predict the risk of emboli. We describe a patient with severe intraluminal aortic atherosclerotic plaques detected by TEE while positioning an Intraaortic Balloon Counterpulsation ( IABP ) during coronary artery by-pass grafting. IABP was re-positioned to prevent an emboli formation with the aid of TEE. TEE should be use to visualize descending aorta prior to IABP insertion.
منابع مشابه
Stroke after intraaortic balloon counterpulsation associated with mobile atheroma in thoracic aorta diagnosed using transesophageal echocardiography.
We describe a patient who developed embolic stroke after coronary artery bypass grafting (CABG) associated with intraaortic balloon pump (IABP) insertion. Intraoperative transesophageal echocardiography (TEE) revealed marked irregular mass and disruption of the intimal surface of the thoracic aorta with overlying shaggy echogenic material on the intimal surface of the descending thoracic aortic...
متن کاملInfluence of Intraaortic Balloon Pump Counterpulsation on Transesophageal Echocardiography Derived Determinants of Diastolic Function
INTRODUCTION Intraaortic balloon pump counterpulsation (IABP) is often used in patients with acute coronary syndrome for its favourable effects on left ventricular (LV) systolic function and coronary perfusion. However, the effects of IABP on LV diastolic function have not been comprehensively investigated. Acute diastolic dysfunction has been linked to increased morbidity and mortality. The ai...
متن کاملTrans-aortic counterpulsation: a viable alternative?
Transthoracic intra-aortic balloon pump (IABP) insertion has been a relatively rare and uncommon procedure. However, it is an established beneficial option in patients with severe peripheral vascular disease (PVD) accompanied with bi-lateral femoral arterial occlusion. There are several viable alternatives to trans-aortic IABP insertion, including trans-axillary or in abdominal aorta (requiring...
متن کاملElective intra-aortic balloon counterpulsation during high-risk percutaneous coronary intervention: a randomized controlled trial.
CONTEXT Observational studies have previously reported that elective intra-aortic balloon pump (IABP) insertion may improve outcomes following high-risk percutaneous coronary intervention (PCI). To date, this assertion has not been tested in a randomized trial. OBJECTIVE To determine whether routine intra-aortic balloon counterpulsation before PCI reduces major adverse cardiac and cardiovascu...
متن کاملAortic luminal thrombus and intramural hematoma after cardiopulmonary resuscitation
We describe the case of a patient with an intramural hematoma and floating thrombus after cardiopulmonary resuscitation. The 92-year old man had a cardiac arrest due to ventricular fibrillation and witnesses immediately initiated manual cardiopulmonary resuscitation. Transesophageal echocardiography was performed immediately on hospital admission because the patient was in cardiogenic shock. In...
متن کامل