[HSF] Trip to Croatia

[prasannasimha]

I just downloaded the Heartport  product info literature and they did 
not mention "acceptable" balloon inflation pressures. I presume it has 
to be higher than aortic perfusion pressure and could be monitored (as 
far as adequacy of occlusion is concerned) with TEE but what constitutes 
a "high" or unacceptable inflation pressure ?
Prasanna
prasannasimha wrote:
> Hal,
> At what pressure do you place the Heart port balloon at ? I need some 
> education about this as I have only read about it but not used 
> it.(Always used a Foley in the situation where it was needed)
> Prasanna
>
> bbiocina at kbd.hr wrote:
>> 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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