Intraaortic Balloon Pump Insertion through the Subclavian Artery.

Marcu, Constantin B.; Donohue, Thomas J.; Ferneini, Antoine M.; Ghantous, Andre

doi:10.1016/j.hlc.2005.08.008

Cited by 14 publications

(5 citation statements)

References 13 publications

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“…The results of this technique are not definitively known, since most studies have small sample sizes with a limited number of case reports. 4,5,17,18 There are mainly two techniques reported: one, in which a graft was sewn and the catheter was passed through it to the descending aorta, was used in relatively elective conditions (4/10 patients) to increase ambulation and upper extremity blood supply. The direct Seldinger technique was used (6/10 patients) in the emergency setting.…”

Section: Discussionmentioning

confidence: 99%

Alternative non-femoral accesses for intra-aortic balloon pumping

et al. 2015

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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.

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Section: Discussionmentioning

confidence: 99%

Alternative non-femoral accesses for intra-aortic balloon pumping

et al. 2015

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“…The common preferred site for percutaneous insertion of IABP is the common femoral artery, and the distal end of the catheter is advanced and positioned in the proximal descending aorta. Consequentially, peripheral aortoiliac vascular disease has been described as a relative contraindication to IABP insertion, although several approaches have been described to overcome utilizing peripheral interventional techniques especially with iliac disease [ 4 - 6 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report

Low

Lee

2015

BMC Cardiovasc Disord

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BackgroundThe 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.Case presentationWe 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.ConclusionsOur 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.

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“…On the other hand, subclavian arterial IABP insertion under local anesthesia is easier and safer to perform and allows increased patient mobility . In deciding which subclavian artery to use for IABP access, one has to consider the presence of signs and symptoms of subclavian stenosis (difference between BP measurements in the arms, presence of vertebral steal syndrome or arm claudication), if needed obtain a computed tomographic or magnetic resonance angiogram of the aortic arch vessels . It will be advisable to perform aortogram prior to inserting IABP sheath to access the aorta and brachiocephalic vessels to select between left or right subclavian after doing coronary angiogram.…”

Section: Discussionmentioning

confidence: 99%

“…It will be advisable to perform aortogram prior to inserting IABP sheath to access the aorta and brachiocephalic vessels to select between left or right subclavian after doing coronary angiogram. If the left internal thoracic artery is to be used for CABG, one might consider placing the IABP through the right subclavian artery and avoid, at least in theory, interfering with the left thoracic artery blood flow .…”

Section: Discussionmentioning

confidence: 99%

Intra‐aortic balloon pump insertion through the right subclavian artery in a patient of anterior wall myocardial infarction with ventricular septal rupture and severe peripheral artery obstruction disease

Sharma

Shah

Jadhav

2014

Cathet Cardio Intervent

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Intra-aortic balloon pump (IABP) is used in cardiogenic shock of different etiologies. Routinely, it is inserted through the transfemoral access, but in the patients with severe peripheral artery obstruction disease (PAOD), use of alternative approach is needed. In this case report, IABP insertion through the right subclavian artery with the help of cardiothoracic surgeon in a patient of anterior wall myocardial infarction (AWMI) with severe PAOD has been described. A 60-years-old male patient, with the history of chronic smoking, presented with progressing chest pain for last 3 days. On the basis of clinical examination and radiological findings, he was diagnosed with AWMI along with the ventricular septal rupture and PAOD. The patient was advised to undergo coronary artery bypass graft with VSR repair, but to stabilize the patient, it was necessary to put him on IABP. Because of the severe PAOD, femoral access was not suitable to insert the IABP, and hence, the right subclavian route was accessed. Then, the patient was operated and no other complications were encountered. Subclavian arterial IABP insertion under local anesthesia is easier and safer to perform and allows increased patient mobility. Other routes, such as, ascending aorta and axillary artery have also been discussed in other literatures, but subclavian arterial IABP insertion was found to be the best in the patients with severe PAOD. Trans-subclavian route is an effective approach in extended IABP utilization even in patients with severe PAOD. © 2014 Wiley Periodicals, Inc.

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Intraaortic Balloon Pump Insertion through the Subclavian Artery.

Cited by 14 publications

References 13 publications

Alternative non-femoral accesses for intra-aortic balloon pumping

Alternative non-femoral accesses for intra-aortic balloon pumping

Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report

Intra‐aortic balloon pump insertion through the right subclavian artery in a patient of anterior wall myocardial infarction with ventricular septal rupture and severe peripheral artery obstruction disease

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