It was reported that a patient required intra-aortic balloon pump (iabp) therapy for support post-operatively.The surgeon was unable to insert the intra-aortic balloon (iab) in theatre due to poor peripheral access and so patient went to the intensive therapy unit with no support.It was reported that the surgeon went through 2 introducer kits because the guidewires and dilators kept kinking.It was decided by the intensivist later on in the night that the patient required circulatory support, and so he attempted to insert a 50cc fiber optic iab catheter.This was successful, but was reported to be difficult to do.It was necessary to use a sheath to maintain patency of the vessel as the patient had a very large abdomen.Patient subsequently went back to theatre for extracorporeal membrane oxygenation (ecmo) support; by this point the leg on the balloon side was white.It was reported that the surgeon then had difficulty removing the balloon and he expected it to be able to pass through the sheath.The surgeon indicated the event was traumatic for the patient and that the patient had to have vascular repair.It was reported that the insertion kits were both disposed of upon completion and the lot information was not retained.This submission is for the 2nd insertion kit attempted.
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