Transbrachial Intraaortic Balloon Pumping in Severe Peripheral Atherosclerosis

Onorati, Francesco; Impiombato, Barbara; Ferraro, Alessandro; Comi, Maria Caterina; Spaccarotella, Carmen; Indolfi, Ciro; Renzulli, Attilio

doi:10.1016/j.athoracsur.2006.12.039

Cited by 29 publications

(14 citation statements)

References 8 publications

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“…The transbrachial approach alternative to femoral access has been proposed for patients with associated severe aortoiliac and femoral disease or vascular prosthesis for aortofemoral bypass who require IABP insertion [13]. In association with this, Onorati et al reported that the transbrachial IABP with a 7.5-F catheter is as safe and effective as the transfemoral method in patients with unavailable femoral arteries [26].…”

Section: Discussionmentioning

confidence: 96%

Coronary artery vasospasm after atrial septal defect surgery

Yoon

Lee

Kim

et al. 2014

Yeungnam Univ J Med

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Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intra-aortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.

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Section: Discussionmentioning

confidence: 96%

Coronary artery vasospasm after atrial septal defect surgery

Yoon

Lee

Kim

et al. 2014

Yeungnam Univ J Med

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“…The transbrachial route has been shown to be safe and efficacious for IABP insertion in patients undergoing percutaneous coronary intervention7 8 and in patients undergoing coronary bypass surgery 9 10. Percutaneous placement of IABP in axillary/subclavian position has been described as a bridge to heart transplantation 4.…”

Section: Discussionmentioning

confidence: 99%

Prolonged duration of transbrachial intra-aortic balloon pump as bridge to heart transplantation

et al. 2015

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SUMMARYWe 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. BACKGROUND

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“…However, the right brachial artery can be also considered, because there are no reports of neurological complications in patients who had an IAB placed via the right arm. 3,4,6 In patients undergoing bypass graft surgery, the right brachial may be preferable, because it allows harvesting of the left radial artery, if needed.…”

Section: Discussionmentioning

confidence: 99%

Transbrachial Intra-Aortic Balloon Pumping for High-Risk Percutaneous Coronary Intervention

Aznaouridis

Kacharava

Consolini

et al. 2011

The American Journal of the Medical Sciences

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The beneficial effect of placement of intra-aortic balloon (IAB) pump before revascularization in patients with high-risk coronary anatomy and impaired left ventricular systolic function is documented. However, the conventional insertion of IAB pump via the common femoral artery may be contraindicated or may be even impossible in patients with severe vascular disease. Recently, the percutaneous insertion of IAB via the brachial artery has been shown to be effective and safe in small series of patients with vascular disease undergoing coronary artery bypass surgery. The authors report their experience with a patient with aortobifemoral bypass grafts who underwent successful stenting of a trifurcating distal left main stenosis after placement of a 7.5-Fr IAB pump via the left brachial artery.

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Transbrachial Intraaortic Balloon Pumping in Severe Peripheral Atherosclerosis

Cited by 29 publications

References 8 publications

Coronary artery vasospasm after atrial septal defect surgery

Coronary artery vasospasm after atrial septal defect surgery

Prolonged duration of transbrachial intra-aortic balloon pump as bridge to heart transplantation

Transbrachial Intra-Aortic Balloon Pumping for High-Risk Percutaneous Coronary Intervention

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