Rapid Switch from Intra-Aortic Balloon Pumping to Percutaneous Cardiopulmonary Support Using Perclose ProGlide

Figure 4

The ex vivo procedure for guidewire exchange. (a) Perclose ProGlide (Abbott vascular, Abbott Park, Illinois, USA). A white arrow shows the position of the exit port. (b) The length between the tip and exit port (white arrow) of the Perclose ProGlide is approximately 19.5 cm. (c) The rubber part of the Perclose ProGlide is flexible. (d) A 0.025-inch guidewire is inserted via the tip of the Perclose ProGlide. (e) A 0.025-inch guidewire is pulled out from the exit port of the Perclose ProGlide. (f) A 0.035-inch guidewire is inserted via the exit port of the Perclose ProGlide. (g) A 0.035-inch guidewire is advanced and pulled out from the tip of the Perclose ProGlide. (h) The Perclose ProGlide is pulled out, and the 0.035-inch guidewire is left in place. This completes the switch from a 0.025-inch guidewire to a 0.035-inch guidewire.