Transbrachial insertion of an intra-aortic balloon pump for high-risk percutaneous coronary intervention

Simard, Trevor; Hibbert, Benjamin; Parfrey, Brendan; O’Brien, Edward R.

doi:10.1007/s00392-012-0466-9

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2015

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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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