Document Detail

On-site immediate removal of intraortic balloon pump after high-risk percutaneous intervention with a 6 F closure suture device with the "preclosure" technique.
MedLine Citation:
PMID:  17896399     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Intraaortic balloon counterpulsation (IABP) may be necessary during percutaneous intervention (PCI) and sometimes it would be useful to withdraw it at the end of procedure. We describe the utility of a closure suture device to retrieve the IABP in the cardiac catheterization laboratory immediately after the intervention. METHODS: Observational study of nine consecutive high-risk PCI where an 8.5 F IABP had been retrieved at the end of the procedure with a 6 F Perclose with the "preclosure" technique. The baseline clinical characteristics as well as the in-hospital and 90-days follow-up are described. RESULTS: The patients age was 67.4 +/- 14.9 years (mean 45-85; three patients were >80; 3 females (33.3%). Left main coronary artery was the target lesion in 8 (88.8%) and 4 (44.4%) patients, performed by radial access. Abciximab was used in 7 patients (77.7%). Successful hemostasis was achieved in all the cases without manual or mechanical compression. Only one patient was transferred to the Coronary Care Unit due to advanced age, left main coronary artery stenting, and severe ventricular dysfunction. Five patients (55.5%) were discharged 24 h after the PCI, three (33.3%) 48 h, and only one remained 72 h after the procedure. There were no events in the 90-days follow-up. CONCLUSIONS: The "preclosure" technique with the 6 F Perclose is an ingenious approach to achieve successful hemostasis after IABP removal. It may permit to transfer the patients to units without critical care facilities, shorten the admission and reduce vascular complications in patients with peripheral vascular disease who may need the counterpulsation only during the percutaneous intervention.
Iñigo Lozano; Pablo Avanzas; Cesar Moris
Related Documents :
24384179 - Post-traumatic left ventricular outflow tract pseudoaneurysm.
18441449 - Clinical and procedural predictors of no-reflow phenomenon after primary percutaneous c...
24642559 - Metabolic characteristics of human hearts preserved for 12 hours by static storage, ant...
23906029 - Association between presystolic ventricular flash and left ventricular functional recov...
23590519 - Quantitative assessment of brain microvascular and tissue oxygenation during cardiac ar...
16700859 - A review of the management of patients after percutaneous coronary intervention.
22936619 - Plaque shift and distal embolism in patients with acute myocardial infarction: a volume...
2109459 - Disseminated intravascular coagulation and myocardial infarction in a haemophilia b pat...
18955639 - Twenty-year trends in the incidence of stroke complicating acute myocardial infarction:...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  70     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-02     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  538-40     Citation Subset:  IM    
Copyright Information:
(c) 2007 Wiley-Liss, Inc.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary*
Blood Loss, Surgical / prevention & control*
Coronary Artery Disease / surgery,  therapy*
Device Removal*
Equipment Design
Follow-Up Studies
Heart Catheterization
Hemostasis, Surgical / instrumentation*,  methods
Intra-Aortic Balloon Pumping / instrumentation*
Middle Aged
Suture Techniques / instrumentation*
Time Factors
Treatment Outcome
Comment In:
Catheter Cardiovasc Interv. 2007 Oct 1;70(4):541-2   [PMID:  17896400 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Effects of left ventricular unloading by Impella recover LP2.5 on coronary hemodynamics.
Next Document:  The LightWire technology for catheter-based interventions.