title: A new technique for sheathless percutaneous intraaortic balloon catheter insertion.
abstract: Intraaortic balloon counterpulsation is helpful for controlling myocardial ischemia and providing hemodynamic support, but its applicability is limited by lower extremity ischemic complications in a significant percentage of patients. We developed a new sheathless technique for percutaneous intraaortic balloon catheter insertion which reduces the effective catheter diameter. A pilot study using this new technique resulted in a 10% rate of limb ischemia, without compromise of balloon function. We conclude that this technique may be useful in reducing the incidence of limb ischemia associated with intraaortic balloon counterpulsation.
authors.affiliation: Charles A. Dana Research Institute, Harvard-Thorndike Laboratory, Beth Israel Hospital, Boston, MA 02215.
authors.forename: I S
authors.initials: IS
authors.lastname: Nash
authors.forename: B H
authors.initials: BH
authors.lastname: Lorell
authors.forename: R F
authors.initials: RF
authors.lastname: Fishman
authors.forename: D S
authors.initials: DS
authors.lastname: Baim
authors.forename: C
authors.initials: C
authors.lastname: Donahue
authors.forename: D J
authors.initials: DJ
authors.lastname: Diver
mesh_terms: D000368:Aged; D002404:Catheterization / Q000379:methods; D015908:Counterpulsation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation* / Q000379:methods; D007511:Ischemia / Q000517:prevention & control; D007866:Leg / Q000098:blood supply; D008297:Male