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Hooshang Bolooki
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Ann Thorac Surg 1993;56:368-370
© 1993 The Society of Thoracic Surgeons

Articles

Intraaortic balloon entrapment

Michael D. Horowitz, MD*, Monica Otero, BS, Eduardo J. de Marchena, MD, Richard M. Neibart, MD, Stana Novak, RN, Hooshang Bolooki, MD

Division of Thoracic and Cardiovascular Surgery and Division of Cardiology, University of Miami/Jackson Memorial Medical Center, Miami, Florida USA

Accepted for publication October 15, 1992.

* Address reprint requests to Dr Horowitz, 4211 Hospital Rd, Suite 302, Pascagoula, MS 39581-5320.

A review of intraaortic balloon pump use at the University of Miami/Jackson Memorial Medical Center over the past 21 years identified 2 cases where a balloon was found to be entrapped. The balloon catheters had been in place for approximately 10 days when this complication occurred. The retained balloons were torn, filled with clotted blood, and impacted in the vasculature. In our first case, forceful removal of the intraaortic balloon was complicated by unintentional extraction of the external iliac and common femoral arteries. In the second case, clot within the balloon was dissolved with tissue plasminogen activator injected into the drive lumen of the catheter before removal. The prevention and management of this rare but serious complication of intraaortic balloon pumping is reviewed.




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