Intra aortic balloon pump insertion through left axillary artery in patients with severe peripheral arterial disease.
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.
Zattera
Giuseppe
G
Division of Cardiac Surgery, IRCCS Foundation San Matteo, Pavia, Italy.
Totaro
Pasquale
P
D'Armini
Andrea Maria
AM
Viganò
Mario
M
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