So I just began working in the CVICU about a month ago. One of the cardiologists newer to the facility came to remove the IABP of one of my pts. Me and my preceptor attempted to stop him d/t the Heparin gtt that was still going. HOWEVER, he went ahead to try and do it because he says he pulls the balloon THROUGH the sheath and leaves the sheath in for a couple hours. Now from my understanding, that increases the risk for a clot to dislodge by forcing the balloon (that could have small clots attached) through the sheath. My preceptor tried explaining this and even got a clinical leader to come speak with him AND had him speak on the phone to one of our cardiothoracic surgeons. All of the consulted people said that it was not the way it should be done. The cardiologist said he had done it that way several times and went ahead and pulled it leaving the sheath in!!!
Later, we called the Datascope company and they gave us the same info that the balloon should be pulled with the sheath and for the same reason in which we had said.
Do any of you know of any other cardiologists that pull IABPs with this technique? Also, how long do you all leave the heparin off before pulling the sheath normally?