Intraaortic balloon pump insertion through the subclavian artery. Subclavian artery insertion of IABP.
The intraaortic balloon pump (IABP) is frequently used in the management of cardiac failure in the setting of myocardial infarction or as a bridge for coronary revascularisation surgery. The IABP is usually inserted through the femoral artery. Occasionally severe aorto-iliac occlusive disease prevents the retrograde passage of the balloon, in which case an anterograde route, usually through the ascending aorta is used. We describe four patients in whom an IABP was placed through the subclavian artery by the joint efforts of cardiologists and vascular surgeons.
Vrije University Medical Center, Department of Cardiology, Room 6D 120, De Boelelaan 1117 1081 HV, Amsterdam, The Netherlands. bogmarcu@pol.net
Constantin B
CB
Marcu
Thomas J
TJ
Donohue
Antoine
A
Ferneini
Andre E
AE
Ghantous
D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D001024:Aortic Valve Stenosis / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D006328:Cardiac Catheterization; D005260:Female; D006333:Heart Failure / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000601:surgery; D012770:Shock, Cardiogenic / Q000601:surgery*; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome