title: Prolonged duration of transbrachial intra-aortic balloon pump as bridge to heart transplantation.
abstract: We describe a case demonstrating the quality of life (QOL) benefit and safety of using a transbrachial approach for insertion of an intra-aortic balloon pump (IABP) in a patient awaiting cardiac transplantation. A 68-year-old man with ischaemic cardiomyopathy was admitted to our cardiac intensive care unit to await the availability of a suitable donor organ for orthotopic heart transplant. An IABP was needed for haemodynamic support due to cardiogenic shock. Since the patient did not want to be committed to lying supine in bed for multiple days, as would have been the case had the IABP been placed using the conventional femoral route, we inserted a 7.5 Fr 'sheathless' IABP via the transbrachial approach. The patient's haemodynamics improved and the device was left in place for 240 h without vascular compromise. He was subsequently successfully transplanted and is doing well on follow-up.
authors: Department of Interventional Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors: Triston B B J
authors: TB
authors: Smith
authors: Department of Interventional Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors: Puneeth
authors: P
authors: Shridhar
authors: Department of Interventional Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors: Ramzi
authors: R
authors: Khalil
authors: Department of Interventional Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors: David Michael
authors: DM
authors: Lasorda
mesh_terms: D000368:Aged; D001916:Brachial Artery; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D017202:Myocardial Ischemia / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D019919:Prosthesis Implantation / Q000379:methods; D011788:Quality of Life; D016896:Treatment Outcome
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