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Extended duration of brachially inserted intra-aortic balloon pump for myocardial protection in two patients undergoing urgent coronary artery bypass grafting

Bakoulev Scientific Center for Cardiovascular Surgery, Rublevskoe Shosse 135, Moscow 121552, Russia

Extended duration of brachially inserted intra-aortic balloon pump for myocardial protection in two patients undergoing urgent coronary artery bypass grafting

Patients with existing impaired cardiac function are considered to be high-risk candidates for cardiac surgery. Anesthetic agents and the procedure itself can place increased myocardial oxygen demands on the already impaired heart. Use of intra-aortic balloon pump (IABP) provides haemodynamic stability by assisting in balancing myocardial oxygen supply and demand, preoperatively, intraoperatively, and during the critical post operative period when the demands on the heart are particularly high. Traditionally, the femoral artery access is used for IABP insertion. The submitted report [1], which is devoted to the technique for left trans-brachial insertion of an IABP in patients with concomitant occlusive peripheral vascular disease, seems very interesting because in such cases we should keep that method in our mind. But by applying that technique there is a high risk of the development of neurological complications. So that maybe it would be safer to use left trans-subclavian insertion of an IABP.

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1. Bundhoo S, O'Keefe PA, Luckraz H, Ossei-Gerning N. Extended duration of brachially inserted intra-aortic balloon pump for myocardial protection in two patients undergoing urgent coronary artery bypass grafting. Interact CardioVasc Thorac Surg 2008; 7:42–44.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Shatalov, K. V. Search for Related Content PubMed Articles by Bockeria, L. A. Articles by Shatalov, K. V. Related Collections Related Article