Percutaneous Vessel Repair Following IABP Removal

This video illustrates how to achieve rapid hemostasis following the removal of an intra-aortic balloon pump (IABP), using a percutaneous vessel repair device. This is particularity important in patients who are anticoagulated and prone to difficult adequate hemostasis. The procedure and IABP removal can be performed bedside, in the intensive care unit, or in the operating room under echocardiographic guidance.

Currently, the majority of IABP sheath sizes range from 7–8 French in size. One may use any respected and FDA approved percutaneous vessel closure device based on a patient’s vessel profile, disease severity, and the operator’s level of comfort. In this video, an Angio-Seal closure device is used to perform percutaneous closure of the common femoral artery following intra-aortic balloon pump removal.

Reference(s)

1. Duffin DC, Muhlestein JB, Allisson SB, Horne BD, Fowles RE, Sorensen SG, et al. Femoral arterial puncture management after percutaneous coronary procedures: A comparison of clinical outcomes and patient satisfaction between manual compression and two different vascular closure devices. J Invasive Cardiol. 2001;13:354–62.

2. Resin FS, Aurora N, Mathieu M, Reynolds MR. A cost minimisation analysis of the Angioseal vascular closure device following percutaneous coronary intervention. Am J Cardiol. 2007;99:766–70.