Key result
IABP entrapment can occur without balloon rupture despite a ~0.5% typical rate of these complications.
Why the study?
Intra-aortic balloon pump entrapment is typically attributed to balloon rupture, prompting the presentation of cases involving entrapment without rupture.
Case Report
This case series highlights that intra-aortic balloon pump entrapment can occur even without balloon rupture, expanding the known etiologies of this rare complication.
Requires vigilance for IABP entrapment without rupture; extends known etiologies but remains hypothesis-generating.
Intra-aortic balloon pump is an invasive procedure used in critically unwell population and carries risks of possible complications. The most common complications include thrombocytopenia and fever, occurring approximately 50 and 36% of the time. Rare complications include vascular tears, limb ischemia, occurring approximately 1-2% of the time and balloon rupture and/or entrapment approximately 0.5% of the time. Current literature suggests the most common etiology of entrapment is due to balloon rupture and the formation of clot within the balloon causing difficulty in removal. Herein, we demonstrate a case series of intra-aortic balloon pump entrapment without balloon rupture.
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Sogomonian et al. (2020) conducted a case report in Intra-aortic balloon pump entrapment. Intra-aortic balloon pump was evaluated. Intra-aortic balloon pump entrapment can occur without balloon rupture, despite entrapment and/or rupture typically occurring in approximately 0.5% of cases.
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