Total aortic occlusion caused by sustained balloon inflation: a previously unreported complication of intraaortic balloon counterpulsation.
A case of acute lower-body ischemia 2 days following intraaortic balloon pump insertion is reported. Fluoroscopy revealed persistent balloon inflation throughout the cardiac cycle with distal aortic occlusion. Attempts to manually deflate the balloon were unsuccessful until a guidewire was advanced through the gas-exchange lumen into the body of the balloon. The balloon catheter was removed without clinical sequelae other than transient oliguria and an asymptomatic increase in creatinine phosphokinase (CPK). This is a previously unreported complication of intraaortic balloon counterpulsation.
Ferrell
M A
MA
Knight Cardiac Catheterization Labortory, Cardiac Unit, Massachusetts General Hospital, Boston 02114.
Doherty
M
M
Zusman
R M
RM
Nash
I S
IS
D000368:Aged; D000789:Angina, Unstable / Q000503:physiopathology / Q000628:therapy*; D001012:Aorta, Abdominal; D003251:Constriction, Pathologic / Q000209:etiology; D001026:Coronary Artery Bypass; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000503:physiopathology / Q000628:therapy; D006083:Graft Occlusion, Vascular / Q000503:physiopathology / Q000628:therapy; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation*; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology; D007866:Leg / Q000098:blood supply*; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy