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- Title
Rapid Switch from Intra-Aortic Balloon Pumping to Percutaneous Cardiopulmonary Support Using Perclose ProGlide.
- Authors
Sakakura, Kenichi; Adachi, Yusuke; Taniguchi, Yousuke; Wada, Hiroshi; Momomura, Shin-ichi; Fujita, Hideo
- Abstract
We present a case of a patient who needed rapid switch from intra-aortic balloon pumping (IABP) to percutaneous cardiopulmonary support (PCPS)/venoarterial extracorporeal membrane oxygenation. It is difficult to switch from IABP to PCPS, because 0.035-inch guidewires cannot pass the IABP guidewire lumen (0.025-inch compatible), and the IABP sheath needs to be removed together with the IABP catheter. First, a 0.025-inch guidewire was inserted into the IABP wire lumen, and then the IABP catheter together with the 8 Fr IABP sheath was removed, leaving the 0.025-inch guidewire in place. We used the Perclose ProGlide for safe and rapid exchange of the 0.025-inch guidewire for a 0.035-inch guidewire. This allowed insertion of a PCPS cannula and the prompt initiation of PCPS.
- Subjects
HEART disease case studies; INTRA-aortic balloon counterpulsation; CARDIOPULMONARY system physiology; EXTRACORPOREAL membrane oxygenation; CARDIAC patients
- Publication
Case Reports in Cardiology, 2015, p1
- ISSN
2090-6404
- Publication type
Case Study
- DOI
10.1155/2015/407059