Subclavian artery approach for insertion of intra-aortic balloon.
Subperiosteal clavicular resection for access to the subclavian artery is described. In those patients requiring intra-aortic balloon placement in the nonsurgical setting, such an approach provides a reasonably benign alternative when aortoiliac atherosclerosis prevents the usual retrograde femoral placement. Little morbidity or functional compromise is associated with clavicular wedge resections, and the anatomic availability of a large artery without the need for major surgical maneuvers in these gravely ill patients is a distinct advantage.
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications; D001243:Assisted Circulation / Q000379:methods*; D002968:Clavicle / Q000601:surgery*; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy; D013348:Subclavian Artery / Q000601:surgery