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Interact Cardiovasc Thorac Surg · Aug 2009
Case ReportsIntra aortic balloon pump insertion through left axillary artery in patients with severe peripheral arterial disease.
- Giuseppe Zattera, Pasquale Totaro, Andrea Maria D'Armini, and Mario Viganò.
- Division of Cardiac Surgery, IRCCS Foundation San Matteo, Pavia, Italy.
- Interact Cardiovasc Thorac Surg. 2009 Aug 1; 9 (2): 369-70.
AbstractIntra 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.
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