Figure 1: Intra-aortic balloon pump catheter after removal, showing an intact balloon envelope but a broken internal wire (arrow). The balloon was inserted prophylactically with an uncomplicated sheetless technique at the time of operation in the anaesthetic room. The patient was extubated on postoperative day 1 and the balloon had to be removed the following morning (i.e. 48 h after its insert...

At the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the Seldinger technique. However, while the balloon pump was being passed over the guide wire, the latter was completely lost. The guide wire should be held at the tip at all times to prevent passage into the ...

BACKGROUND Cardiogenic shock is the leading cause of death in patients with acute myocardial infarction. Despite significant advancements in health technology and research, hospital mortality approaches 50%. The intra-aortic balloon pump is a mechanical hemodynamic assist device that has been used for over 40 years in the management of patients with cardiogenic shock. A recent randomized trial ...

background: the incidence of coronary artery bypass grafting surgery (cabg) in elderly patients has been increasing. there are contradictory reports on the early outcome of elderly coronary artery patients as compared with their young counterparts. we designed this retrospective study to address this issue. methods: w e retrospectively analyzed the results of 1489 on–pump cabg cases performed a...

OBJECTIVE The study objective was to evaluate the association between timing of intraaortic balloon pump insertion and outcomes in patients undergoing cardiac surgery. METHODS All patients aged 18 years or more who underwent coronary artery bypass surgery, cardiac valve surgery, or thoracic aortic surgery between January 2002 and December 2007 were included. Data were obtained from cardiac su...

Proper positioning of the intra-aortic balloon catheter is very important as an improperly placed balloon can cause problems. A balloon placed too high can block off the arch vessels, whereas one placed too low can block the renal and splanchnic vessels. We propose a simple and reliable technique to properly position the intra-aortic balloon pump (IABP) catheter without the use of any sophistic...

Intra-Aortic Balloon Pump Counter-Pulsation To the Editor: The imaging of coronary flow1 during intra-aortic balloon pumping is important and might be used to adjust the timing of balloon deflation better. In the series of figures shown by Ryan and Foster,1 with intra-aortic balloon pumping assisting every second beat, there was no consistent reduction of systolic pressure in the intervening un...

We present a case of an 82-year-old male patient with history severe mitral regurgitation, aortic chronic atrial fibrillation, and suicide attempts due to depression. The underwent valvuloplasty valve replacement for regurgitation regurgitation. was extubated on the morning sixth postoperative day, but he reintubated in evening because hypotension unstable respiratory status. Echocardiography r...

As a preliminary investigation into the cerebral effects of mechanical cardiac assist devices, using transcranial Doppler ultrasonography I examined the basal cerebral arteries in three patients placed on an intra-aortic balloon pump. Unassisted systoles had normal blood velocities and waveforms. When the pump was in use, diastolic blood velocity during balloon inflation increased. As the ballo...