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Case Reports
. 2011 Feb;341(2):153-6.
doi: 10.1097/MAJ.0b013e3181f80248.

Transbrachial intra-aortic balloon pumping for high-risk percutaneous coronary intervention

Konstantinos Aznaouridis  1 , Andro G Kacharava, Michelle Consolini, A Maziar Zafari, Kreton Mavromatis
Affiliations
Case Reports

Transbrachial intra-aortic balloon pumping for high-risk percutaneous coronary intervention

Konstantinos Aznaouridis et al. Am J Med Sci. 2011 Feb.

Abstract

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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Figures

FIGURE 1
FIGURE 1
(A) Injection of the left coronary artery at the right anterior oblique view with caudal angulation showing a diffusely diseased trifurcating left main coronary artery with a critical stenosis distally, involving the ostium and proximal segment of the left anterior descending coronary artery. The left circumflex and ramus intermedius coronary arteries are free of significant disease. (B) Injection of the right coronary artery at the right anterior oblique view showing collaterals to the distal left anterior descending coronary artery (arrows).
FIGURE 2
FIGURE 2
The inflated intraaortic balloon (IAB) (highlighted with arrows) is positioned in the descending thoracic aorta. (A) IAB catheter in the left subclavian artery and descending aorta. (B) The tip of the IAB catheter points caudally.
FIGURE 3
FIGURE 3
Postcoronary intervention injection of the left coronary artery at the right anterior oblique view with caudal angulation (A) and at the left anterior oblique view with caudal angulation (B) showing the final angiographic result. The arrows highlight the inflated intra-aortic balloon.
See this image and copyright information in PMC

References

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