Issue |
J Extra Corpor Technol
Volume 15, Number 5, October 1983
|
|
---|---|---|
Page(s) | 122 - 125 | |
DOI | https://doi.org/10.1051/ject/1983155122 | |
Published online | 18 September 2023 |
Case report
A Rare Complication of the Percutaneous Intra-Aortic Catheter: Inadvertent Puncture during Surgery
Department of Clinical Perfusion, Rhode Island Hospital, Providence, Rhode Island
* Direct communications to: Ronald J. Massimino, C.C.P., 106 Moorefield St., Providence, RI 02909.
Received:
15
July
1983
Accepted:
26
September
1983
A 58 year-old male underwent urgent aorta-coronary bypass surgery for unstable angina. A 40cc. percutaneous intra-aortic balloon was inserted pre-operatively, resulting in good augmentation. No problems were observed in the Coronary Care Unit and the patient was stabilized.
Approximately 45 minutes post aorta-coronary bypass, diastolic augmentation drastically changed. During inspection of the balloon catheter, a Kelly clamp, partially occluding the catheter, was found. The Kelly clamp was removed and augmentation was resumed.
While preparing the patient for transport from the Operating Room to the Intensive Care Unit, augmentation by the Intra-aortic balloon pump was temporarily stopped. All attempts to resume augmentation were unsuccessful. Close visual inspection of the catheter showed 2 holes just proximal to the site of the Kelly clamp occlusion. It was later determined that these holes were made with a towel clamp. Effective repair of the catheter could not be made and the balloon was removed.
© 1983 AMSECT
Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.
Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.
Initial download of the metrics may take a while.