When the blood-back detection system fails: an IABP case report

Linley, G. H.; Bakker, E. W.; de Vroege, R.; Spijkstra, J. J.
November 2003
Perfusion;Nov2003, Vol. 18 Issue 6, p369
Academic Journal
A 74-year-old male patient's circulation was supported by an intra-aortic balloon for a period of six days following multiple cardiac infarcts. On the sixth day, several 'leak in IAB circuit' alarms appeared. The nursing staff checked the tubing and refilled the balloon, as described in the manual, without notifying the medical staff or perfusionist. A few hours later, the balloon showed a leak, as blood was seen in the catheter tubing. This leak resulted in considerable damage to the device caused by a large amount of blood migrating back to the tubing and flooding the internal drive system, due to a failing 'blood detection' sensor. The balloon catheter was removed percutaneously and intra-aortic counterpulsation was discontinued. The patient died 20 days later of heart failure. This raises doubts over the adequacy of the protective sensors of such devices and, importantly, how to interpret the present user manuals and the instructions for troubleshooting.


Related Articles

  • Is Administratively Coded Comorbidity and Complication Data in Total Joint Arthroplasty Valid? Bozic, Kevin; Bashyal, Ravi; Anthony, Shawn; Chiu, Vanessa; Shulman, Brandon; Rubash, Harry // Clinical Orthopaedics & Related Research;Jan2013, Vol. 471 Issue 1, p201 

    Background: Administrative claims data are increasingly being used in public reporting of provider performance and health services research. However, the concordance between administrative claims data and the clinical record in lower extremity total joint arthroplasty (TJA) is unknown....

  • Metformin in non-Diabetic Patients Presenting with ST Elevation Myocardial Infarction: Rationale and Design of the Glycometabolic Intervention as Adjunct to Primary Percutaneous Intervention in ST Elevation Myocardial Infarction (GIPS)-III Trial. Lexis, Chris; Horst, Iwan; Lipsic, Erik; Harst, Pim; Horst-Schrivers, Anouk; Wolffenbuttel, Bruce; Boer, Rudolf; Rossum, Albert; Veldhuisen, Dirk; Smet, Bart // Cardiovascular Drugs & Therapy;Oct2012, Vol. 26 Issue 5, p417 

    Background: Left ventricular dysfunction and the development of heart failure is a frequent and serious complication of myocardial infarction. Recent animal experimental studies suggested that metformin treatment reduces myocardial injury and preserves cardiac function in non-diabetic rats after...

  • Industry poised to turn science into treatments. Castellani, John // Chain Drug Review;1/3/2011, Vol. 33 Issue 1, p54 

    The article reports on the effort of several pharmaceuticals in the U.S. to invest in research for developing medicines to help patients from rare diseases. From the timeframe of 1995-2005, medicines developed by researchers contributed to the 45 percent decline in heart attack deaths and heart...

  • Pump failure.  // British Medical Journal;6/4/77, Vol. 1 Issue 6074, p1430 

    Focuses on the context of acute myocardial infarction to describe the mechanical failure of the damaged heart as distinct from electrical failure. Description of the chronic state of impaired heart function; Definition of the crude cause of heart failure; Lack of measurement for myocardial...

  • Addition of the selective aldosterone receptor antagonist eplerenone to ACE inhibition in heart failure: effect on endothelial dysfunction Schäfer, Andreas; Fraccarollo, Daniela; Hildemann, Steven K.; Tas, Piet; Ertl, Georg; Bauersachs, Johann // Cardiovascular Research;Jun2003, Vol. 58 Issue 3, p655 

    Objectives: To investigate the effects of adding the selective aldosterone receptor antagonist eplerenone to ACE inhibition on endothelium-dependent vasodilation in rats with chronic heart failure (CHF). Background: Addition of the non-selective aldosterone antagonist...

  • Left Ventricular Anatomical and Functional Abnormalities in Chronic Postinfarction Heart Failure. Baxley, William A.; Jones, William B.; Dodge, Harold T. // Annals of Internal Medicine;Apr71, Vol. 74 Issue 4, p499 

    Focuses on a study that investigated a series of patients with histories of documented myocardial infarction and evidence of subsequent heart failure. Materials and methods; Results; Discussion.

  • Does the heart have a mind of its own? Prevent adverse outcome from Takotsubo cardiomyopathy. Kan Liu // Heart;Nov2014, Vol. 100 Issue 22, p1816 

    A letter to the editor is presented in response to the article "Takotsubo cardiomyopathy: Still much more to learn" by J.R. Ghadri and colleagues in the 2014 issue.

  • The management of heart failure. Butler, Jane // Practice Nursing;Jun2010, Vol. 21 Issue 6, p290 

    The article discusses the concepts and management of heart failure. It presents the reports from the Great Britain Healthcare Commission and the National Heart Failure Audit (NCASP) on most cases of heart failure associated with coronary heart disease and a history of myocardial infarction. It...

  • Research in action: using positive deviance to improve quality of health care. Bradley, Elizabeth H.; Curry, Leslie A.; Ramanadhan, Shoba; Rowe, Laura; Nembhard, Ingrid M.; Krumholz, Harlan M. // Implementation Science;2009, Vol. 4, p1 

    Background: Despite decades of efforts to improve quality of health care, poor performance persists in many aspects of care. Less than 1% of the enormous national investment in medical research is focused on improving health care delivery. Furthermore, when effective innovations in clinical care...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics