Outcomes of Ambulatory Axillary Intraaortic Balloon Pump as a Bridge to Heart Transplantation

Nishida, Hidefumi; Koda, Yojiro; Kalantari, S.; Nguyen, A.; Chung, B.; Grinstein, Jonathan; Kim, Gene; Sarswat, Nitasha; Smith, Bryan; Song, Tae Ho; Onsager, D.; Jeevanandam, Valluvan; Ota, Takeyoshi

doi:10.1016/j.athoracsur.2020.06.077

Cited by 31 publications

(31 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most notably, axillary or subclavian IABPs can be associated with driveline kinking, device migration, and device malfunction, with some studies reporting incidence as high as 40%. [3][4][5][6] In our practice, this tends to be associated with aortic arch anatomy, as we have seen patients with steeper angles at the subclavianaortic junction more frequently experience kinking and migration. For these patients, we occasionally position the IABP more inferiorly to reduce the likelihood of these complications.…”

mentioning

confidence: 97%

“…This increases the risk of debilitation and may become a critical issue for recovery from destination therapy. [3][4][5][6] Given this limitation, alternative approaches have been explored. Current techniques include surgical and percutaneous IABP placement via the axillary or subclavian artery.…”

mentioning

confidence: 99%

“…These approaches provide patients with mechanical hemodynamic support while also enabling patients to mobilize and participate in physical therapy. [3][4][5][6] The first IABP placement involving the axillary artery was performed in 1989 using a modified surgical…”

mentioning

confidence: 99%

“…This increases the risk of debilitation and may become a critical issue for recovery from destination therapy. 3 , 4 , 5 , 6 …”

mentioning

confidence: 99%

“…These approaches provide patients with mechanical hemodynamic support while also enabling patients to mobilize and participate in physical therapy. 3 , 4 , 5 , 6 …”

mentioning

confidence: 99%

See 4 more Smart Citations

Commentary: Percutaneous supraclavicular subclavian intra-aortic balloon pump insertion—A straighter route to fewer complications?

Moroi

Takeda

2021

JTCVS Techniques

View full text Add to dashboard Cite

Intra-aortic balloon pumps (IABPs) are circulatory support devices that may potentially improve coronary and systemic perfusion in patients with cardiogenic shock. The goal is to provide sufficient stabilization to allow for myocardial recovery or successful bridge to durable therapy, such as left ventricular assist device implantation or heart transplantation. 1 Despite its ancient form of mechanical support, there is enthusiasm toward IABP use, especially after the heart allocation policy change in 2018. 2 Conventionally, the femoral artery is used for IABP insertion, given ease of access. However, due to location, an important disadvantage is the inability of the patient to ambulate. This increases the risk of debilitation and may become a critical issue for recovery from destination therapy. [3][4][5][6] Given this limitation, alternative approaches have been explored. Current techniques include surgical and percutaneous IABP placement via the axillary or subclavian artery. These approaches provide patients with mechanical hemodynamic support while also enabling patients to mobilize and participate in physical therapy. [3][4][5][6] The first IABP placement involving the axillary artery was performed in 1989 using a modified surgical

show abstract

mentioning

confidence: 97%

mentioning

confidence: 99%

mentioning

confidence: 99%

“…This increases the risk of debilitation and may become a critical issue for recovery from destination therapy. 3 , 4 , 5 , 6 …”

mentioning

confidence: 99%

“…These approaches provide patients with mechanical hemodynamic support while also enabling patients to mobilize and participate in physical therapy. 3 , 4 , 5 , 6 …”

mentioning

confidence: 99%

See 3 more Smart Citations