[HSF] Trip to Croatia

bbiocina at kbd.hr bbiocina at kbd.hr
Sat Apr 7 18:48:14 EDT 2007


Hal ,
although we have already been  quite  flexible in our practice since
early 90's in managing patients with little  of resources available  (
war in the region etc.), Prasanna's visit opened  to us the whole new
world of flexibility  which I think  it will be  succesfully applied in
daily practice , even with much more generous resources available now.
The reason we did not replace the baloon was( I think , I hope that
Prasanna agrees) that the part of the procedure  which required 
clamping was  relatively short anyway ( additional pledgeted sutures) ,
and it  could have  been succesfully managed with alterations of flow (
at 22 degrees systemic).
You can monitor  the pressure in Foley , too. Although the inlet valve 
is one-way , you can go trough it  with a needle  connected  to a
pressure line ( I did that in the past , not during this case)

Bojan

On 4/7/2007, "Hgrmd at aol.com" <Hgrmd at aol.com> wrote:

>Bohan,
>  My hat's off to your team for ingenuity.  If the Foley balloon  was
>ruptured, why didn't you just replace it through the pursestring?
>  One word of caution, though.  With the Heartport balloon, you  can monitor
>the pressure and prevent overinflation.
>Hal
>
>
>
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