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Interact CardioVasc Thorac Surg 2009;9:369-370. doi:10.1510/icvts.2009.207522
© 2009 European Association of Cardio-Thoracic Surgery
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Giuseppe Zattera
Pasquale Totaro
Andrea Maria D'Armini
Mario Viganò
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Case report - Assisted circulation

Intra aortic balloon pump insertion through left axillary artery in patients with severe peripheral arterial disease

Giuseppe Zatteraa, Pasquale Totaroa,*, Andrea Maria D'Arminia,b and Mario Viganòa,b

a Division of Cardiac Surgery, IRCCS Foundation San Matteo, Pavia, Italy
b School of Medicine, University of Pavia, Italy

*Corresponding author. Foundation IRCCS San Matteo, School of Medicine, University of Pavia, Pavia, Italy. Tel.: +39 349 8465085.

E-mail address: ptotaro{at}yahoo.com (P. Totaro).

Intra aortic balloon pump (IABP) is the mechanical assist device most frequently used in cardiac surgery. Recent demonstration of better outcome following preoperative IABP insertion in high-risk patients has further extended its indication. However, due to an increasing complexity of patients currently referred for cardiac surgery, several patients with potential indication for preoperative and/or postoperative IABP present severe peripheral vascular disease which usually contraindicates IABP insertion. Here we present an alternative technique for IABP insertion in patients with severe peripheral vessel disease.

Key Words: Cardiac surgery; Intra aortic balloon pump; Vascular complications


Related Article

eComment: Right axillary artery as an alternative route for intraaortic balloon pump catheter insertion in severe aortoiliac pathologies
Senol Yavuz
Interactive CardioVascular and Thoracic Surgery 2009 9: 370-371. [Full Text] [PDF]



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S. Yavuz
eComment: Right axillary artery as an alternative route for intraaortic balloon pump catheter insertion in severe aortoiliac pathologies
Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 370 - 371.
[Full Text] [PDF]


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