How to extract a losing intra-aortic balloon pump guide wire

Manouchehr Hekmat--- Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,
Hamid Ghaderi--- Department of Cardiovascular Surgery, Chamran Heart Center Hospital, Isfahan University of Medical sciences, Isfahan, Iran.,
Seyedeh Adeleh Mirjafari--- Tehran University of Medical Sciences, Tehran, Iran.,
Mehran Shahzamani--- Department of Cardiovascular Surgery, Chamran Heart Center Hospital, Isfahan University of Medical sciences, Isfahan, Iran.,
Gholamreza Masoumi--- Department of Cardiac Anesthesiology, Chamran Heart Center Hospital, Isfahan University of Medical sciences, Isfahan, Iran.

Abstract


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Guidewire loss is a serious complication that in case of a complete wire loss could cause death in about 20% of cases. Although it is essential to retrieve an intravenous foreign body as soon as possible, there are only a few recommendations regarding the removal of an intra-arterial foreign body. This study reports on a rare complication of guidewire loss during the insertion of an Intra-Aortic Balloon Pump (IABP), which has not yet been reported in the literature. The approach to this problem has been described, including the extraction time and the technique.


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DOI: http://dx.doi.org/10.21859/ijcp-03105

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pISSN: 2476-7174
eISSN: 2476-468X

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