title: Vascular entrapment of a ruptured intra-aortic balloon: a case report of successful removal without surgery.
abstract: Intra-aortic balloon pump entrapment is a rare complication that may necessitate major abdominal surgery that is potentially life threatening in the critically ill patients who require balloon counterpulsation. We report successful removal of a ruptured and entrapped intra-aortic balloon pump catheter after use of streptokinase solution to clear clots from the device. We suggest this procedure as a safer, nonsurgical method that may eliminate the need for abdominal surgery.
authors.affiliation: Department of Gerontology and Geriatric Medicine, University of Florence, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Cipriani
authors.forename: G
authors.initials: G
authors.lastname: Baldereschi
authors.forename: L
authors.initials: L
authors.lastname: Boncinelli
authors.forename: N
authors.initials: N
authors.lastname: Marchionni
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D004868:Equipment Failure; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects* / Q000295:instrumentation; D011859:Radiography; D013300:Streptokinase / Q000008:administration & dosage; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase