Transaxillary Intra-Aortic Balloon Pump Migration Minimized With a Long Introducer Sheath

Intra-aortic balloon pump (IABP) has been used more recently as a bridge to cardiac transplantation in hospitalized patients. Femoral IABP limits mobility and rehabilitation; thus, transaxillary approach has been described. However, a transaxillary IABP may migrate, causing significant vascular inju...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine Vol. 30; pp. 85 - 88
Main Authors: Dorsey, Andrew, Karimianpour, Ahmadreza, Fernandes, Valerian L.
Format: Journal Article
Language:English
Published: Elsevier Inc 01.09.2021
Subjects:
Cardiovascular
Heart transplantation
Intra-aortic balloon pump
Mechanical support
Migration
Heart transplantation
Migration
Mechanical support
Intra-aortic balloon pump
ISSN:1553-8389, 1878-0938, 1878-0938
Online Access:Get full text
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Summary:Intra-aortic balloon pump (IABP) has been used more recently as a bridge to cardiac transplantation in hospitalized patients. Femoral IABP limits mobility and rehabilitation; thus, transaxillary approach has been described. However, a transaxillary IABP may migrate, causing significant vascular injury, potential death, or disqualification from transplantation. We describe a case of a 67-year-old male with transaxillary IABP inserted to allow for pre-transplant physical rehabilitation. Due to the unfolded nature of his aorta, the IABP coiled onto itself and migrated several times. We employed a novel technique to mitigate IABP migration using a long 25-cm introducer sheath. •Transaxillary intra-aortic balloon pumps are prone to migration.•Intra-aortic balloon pump migration leads to serious vascular complications.•A long introducer sheath can help minimize device migration.
Bibliography:ObjectType-Case Study-2
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ISSN:1553-8389
1878-0938
1878-0938
DOI:10.1016/j.carrev.2020.09.028