Fukushima Y, Yoshioka M, Hayase T, Taniguchi M, Hirayama N, Unoki T, Kashiwagi T, Koga Y
Department of Thoracic and Cardiovascular Surgery, Miyazaki Medical Association Hospital, Japan.
Kyobu Geka. 1995 Sep;48(10):880-2.
A case of intra-aortic balloon pumping (IABP) entrapment in which the ruptured catheter could be removed through the left axillary artery was reported. A 68-year-old man was admitted with persistent chest pain, and because of his poor cardiac condition, an IAB catheter was inserted by the Seldinger technique. During attempted extraction of the IAB catheter resistance was encountered and it turned out to be entrapped. Then a guide-wire was passed through the IAB lumen to the left axillary artery, the artery was exposed, and the tip of the guide-wire and IAB catheter were led to the arteriotomy site. After the balloon was dissected, the IAB catheter could be removed through the axillary artery. Finally, left femoro-left branchial artery bypass was performed with e-PTFE graft because of the arterial injury and ischemia of the involved arm. The patient recovered from this episode.
报道了一例主动脉内球囊反搏（IABP）导管陷入病例，其中破裂的导管通过左腋动脉成功取出。一名68岁男性因持续性胸痛入院，由于其心脏状况不佳，采用Seldinger技术插入了IAB导管。在尝试拔出IAB导管时遇到阻力，发现导管陷入。然后将导丝穿过IAB管腔至左腋动脉，暴露该动脉，将导丝尖端和IAB导管引至动脉切开部位。球囊分离后，IAB导管可通过腋动脉取出。最后，由于受累手臂的动脉损伤和缺血，使用e-PTFE移植物进行了左股-左肱动脉搭桥术。患者从该事件中康复。
