title: Intra aortic balloon pump insertion through left axillary artery in patients with severe peripheral arterial disease.
abstract: Intra aortic balloon pump (IABP) is the mechanical assist device most frequently used in cardiac surgery. Recent demonstration of better outcome following preoperative IABP insertion in high-risk patients has further extended its indication. However, due to an increasing complexity of patients currently referred for cardiac surgery, several patients with potential indication for preoperative and/or postoperative IABP present severe peripheral vascular disease which usually contraindicates IABP insertion. Here we present an alternative technique for IABP insertion in patients with severe peripheral vessel disease.
authors.affiliation: Division of Cardiac Surgery, IRCCS Foundation San Matteo, Pavia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Zattera
authors.forename: Pasquale
authors.initials: P
authors.lastname: Totaro
authors.forename: Andrea Maria
authors.initials: AM
authors.lastname: D'Armini
authors.forename: Mario
authors.initials: M
authors.lastname: Viganò
mesh_terms: D000368:Aged; D001366:Axillary Artery; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000503:physiopathology; D012720:Severity of Illness Index; D016896:Treatment Outcome