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During an emergency support program call, a cicu rn reported concerns regarding the fiber-optic arterial pressure waveform on a cardiosave intra-aortic balloon pump (iabp) during support with a sensation plus 8fr.50cc intra-aortic balloon (iab).The customer reported that the fiber-optic waveform appeared to contain artifact, with diastolic pressure intermittently decreasing to 0 or the teens and augmentation decreasing; the patient was reported to be in normal sinus rhythm without ectopy.A chest x-ray had been obtained, and the provider reported that there appeared to be no change in iab position.Review of the available waveform showed no evidence of damping, and the radiopaque distal marker was positioned between the 4th and 5th intercostal spaces.Recommended iab positioning was reviewed, and the customer was advised to notify the provider.The inner lumen was flushed through the transducer with the pump in standby for approximately 20 seconds, but the waveform remained unchanged after therapy was resumed.An attempt was made to transition to the transducer pressure source for comparison; however, the appropriate interfacing transducer cable was not available.Potential causes of discrepancies and artifact in the fiber-optic arterial pressure waveform were reviewed, and the customer was advised to notify the provider for further evaluation and management.Near the end of the call, an unable to calibrate fiber-optic sensor alarm was reported.The nature of the alarm and the potential relationship between the reported pressure discrepancies and the calibration issue were discussed.The customer was provided with direct contact information for additional assistance.The following day, another bedside team member contacted clinical support regarding the same patient and catheter, and a fiber-optic sensor failure message was reported.Complaint information was obtained.A return catheter kit was requested for evaluation.
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