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Verification of the Tip Position of the Intra‐Aortic Balloon Pump Catheter by Perioperative Transesophageal Echocardiography
Author(s) -
YANG MINWEN,
WANG KUOYANG,
LIN CHUNGYUAN,
CHAN KWOKHON,
LEE TAKYU,
YU TARNGJENN,
CHENG KWOKKUEI
Publication year - 1992
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1992.tb00495.x
Subject(s) - medicine , perioperative , catheter , intra aortic balloon pump , lumen (anatomy) , cardiology , balloon catheter , balloon , radiology , superior vena cava , abdominal aortic aneurysm , surgery , intra aortic balloon pumping , aneurysm , myocardial infarction , cardiogenic shock
In some patients with advanced heart disease, low cardiac output may develop immediately after coronary artery bypass grafting (CABG). Appropriate measures are often required to ensure adequate perfusion of vital organs in such patients. Of the invasive rescue measures chosen for the support of low cardiac output, the intra‐aortic balloon pump (IABP) prevails. In common practice, a fluoroscope or x‐ray unit is used to guide the insertion of the IABP catheter to the correct position. Transesophageal echocardiography (TEE) can accomplish this more conveniently. Here we report on two cases of misplacement of the IABP catheter, one in the false lumen of a dissected upper abdominal aortic aneurysm and the other in the lumen of the inferior vena cava, both of which were diagnosed intraoperatively by TEE in CABG patients. The applications of TEE in the perioperative period are continuously expanding. One such application of TEE is the assessment of IABP catheter position.