title: Bilateral arm approach for percutaneous coronary intervention of unprotected left main supported by a modified intra-aortic balloon pump.
abstract: Patients in whom femoral arterial access is not feasible pose a challenge in terms of hemodynamic support during high-risk percutaneous coronary intervention. Patient's height adds another challenge given the fixed lengths of available intra-aortic balloon pumps, in terms of achieving an adequate infrasubclavian positioning in the descending thoracic aorta. We report a case where a modified intra-aortic balloon pump helped achieve a successful result in a patient undergoing intervention of an unprotected left main using bilateral arm approach.
authors.affiliation: University of Oklahoma Health Sciences Center, 920 Stanton L Young Blvd., WP #3010, Oklahoma City, OK 73104 USA.
authors.forename: Harsh
authors.initials: H
authors.lastname: Golwala
authors.forename: Soni
authors.initials: S
authors.lastname: Zacharias
authors.forename: Faisal
authors.initials: F
authors.lastname: Latif
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001827:Body Height / Q000502:physiology; D001916:Brachial Artery / Q000502:physiology*; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000503:physiopathology*; D005263:Femoral Artery / Q000503:physiopathology; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome