Rapid Switch from Intra-Aortic Balloon Pumping to Percutaneous Cardiopulmonary Support Using Perclose ProGlide

Case Reports in Cardiology
Kenichi SakakuraHideo Fujita

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.

References

Dec 4, 2004·Cardiovascular and Interventional Radiology·Juha-Matti Isokangas, Jukka M Perälä
Aug 23, 2006·American Heart Journal·Carlo BriguoriAntonio Colombo
Dec 22, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jack L MartinTimothy Shapiro
Oct 17, 2008·The Journal of Emergency Medicine·Salim SuraniJoseph Varon

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