title: Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report.
abstract: BACKGROUND
  The use of intra-aortic balloon pump (IABP) via the trans-femoral approach has been established for hemodynamic support in patients undergoing high-risk percutaneous coronary intervention (PCI). However, there are various challenges associated with its use, especially in patients with aortoiliac occlusive arterial disease.
  
  
  METHODS
  We describe a case of high-risk PCI with IABP support complicated by intra-procedural detection of severe abdominal aortic stenosis that was successfully overcome with angioplasty of the stenotic lesion.
  
  
  CONCLUSIONS
  Our report highlights distal abdominal aortic stenosis as a potential barrier to successful PCI with IABP support, and angioplasty as an effective means to overcome it.
authors.affiliation: Department of Cardiovascular Diseases, University of Arizona South Campus, 2800 E Ajo Way, Tucson, AZ, 85713, USA. seeweilow@gmail.com.
authors.forename: See W
authors.initials: SW
authors.lastname: Low
authors.affiliation: Department of Internal Medicine, University of Arizona, 1501 N Campbell Ave, RM 6336, Tucson, AZ, 85724, USA. justin88lee@gmail.com.
authors.forename: Justin Z
authors.initials: JZ
authors.lastname: Lee
authors.affiliation: 3950 S Country Club Road, Suite 200, Tucson, AZ, 85714, USA. klee@shc.arizona.edu.
authors.forename: Kwan S
authors.initials: KS
authors.lastname: Lee
mesh_terms: D000368:Aged; D017130:Angioplasty; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011859:Radiography; D012307:Risk Factors; D015607:Stents