title: Alternative non-femoral accesses for intra-aortic balloon pumping.
abstract: Access from the femoral arteries to the thoracic aorta for intra-aortic balloon pump (IABP) insertion may not be feasible in a substantial number of patients with severe peripheral vascular disease. Since using an alternative access is inevitable in a certain number of patients requiring IABP support, all alternative accesses should be added to the surgical armamentarium. Herein, we present our 27-year experience with different alternative accesses for IABP insertion following failed contraindication to femoral artery cannulation. The alternative techniques described below were: transthoracic insertion with a tube graft, transthoracic insertion - direct, transaxillary/subclavian insertion and transbrachial insertion.
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey sabitsarikaya@yahoo.com.
authors.forename: S
authors.initials: S
authors.lastname: Sarıkaya
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Adademir
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Özen
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Aydın
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: E K
authors.initials: EK
authors.lastname: Başaran
authors.affiliation: Department of Cardiology, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Şahin
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: M B
authors.initials: MB
authors.lastname: Rabuş
authors.affiliation: Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: K
authors.initials: K
authors.lastname: Kırali
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000601:surgery*; D002404:Catheterization; D005260:Female; D005263:Femoral Artery; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies
keywords: IABP; alternative access for IABP; intra-aortic balloon pump; transfemoral IABP; transthoracic IABP