Top

BMC Cardiovascular Disorders

Published in:

Open Access 01-12-2015 | Case report

Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report

Authors: See W Low, Justin Z Lee, Kwan S Lee

Published in: BMC Cardiovascular Disorders | Issue 1/2015

Abstract

Background

The use of intra-aortic balloon pump (IABP) via the trans-femoral approach has been established for hemodynamic support in patients undergoing high-risk percutaneous coronary intervention (PCI). However, there are various challenges associated with its use, especially in patients with aortoiliac occlusive arterial disease.

Case presentation

We describe a case of high-risk PCI with IABP support complicated by intra-procedural detection of severe abdominal aortic stenosis that was successfully overcome with angioplasty of the stenotic lesion.

Conclusions

Our report highlights distal abdominal aortic stenosis as a potential barrier to successful PCI with IABP support, and angioplasty as an effective means to overcome it.

Perera D, Stables R, Clayton T, De Silva K, Lumley M, Clack L, et al. Long-term mortality data from the balloon pump-assisted coronary intervention study (BCIS-1): a randomized, controlled trial of elective balloon counterpulsation during high-risk percutaneous coronary intervention. Circulation. 2013;127(2):207–12. Jan 15 PubMed.CrossRefPubMed

Colyer Jr WR, Burket MW, Ansel GM, Ramee SR, Minor RL, Gibson CM, et al. Intra-aortic balloon pump placement following aorto-iliac angioplasty and stent placement. Catheter Cardiovasc Interv. 2002;55(2):163–8. PubMed.CrossRefPubMed

Iqbal J, Serruys PW. Revascularization strategies for patients with stable coronary artery disease. J Intern Med. 2014;276(4):336–51. PubMed.CrossRefPubMed

Marcu CB, Donohue TJ, Ferneini A, Ghantous AE. Intraaortic balloon pump insertion through the subclavian artery. Subclavian Artery Insertion IABP Heart Lung Circ. 2006;15(2):148–50. PubMed.CrossRef

Toktas F, Yavuz S, Eris C, Surer S. Transaortic intra-aortic balloon pump catheter insertion through a separate saphenous vein graft in patients with severe aortoiliac disease. The Sci World J. 2014;2014:247803. PubMed Pubmed Central PMCID: 3910074.CrossRef

Rubino AS, Onorati F, Serraino F, Renzulli A. Safety and efficacy of transbrachial intra-aortic balloon pumping with the use of 7-Fr catheters in patients undergoing coronary bypass surgery. Interact Cardiovasc Thorac Surg. 2009;9(1):135–7. PubMed.CrossRefPubMed

Park TC, Hamre DW, Porter JM. Nonatherosclerotic causes of lower extremity claudication. Ann Vasc Surg. 1992;6(6):541–9. PubMed.CrossRefPubMed

Delis KT, Gloviczki P. Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther. 2005;17(3):187–203. PubMed.CrossRefPubMed

Burack JH, Uceda P, Cunningham Jr JN. Transthoracic intraaortic balloon pump: a simplified technique. Ann Thorac Surg. 1996;62(1):299–301. PubMed.CrossRefPubMed

10.

H’Doubler Jr PB, H’Doubler WZ, Bien RC, Jansen DA. A novel technique for intraaortic balloon pump placement via the left axillary artery in patients awaiting cardiac transplantation. Cardiovasc Surg. 2000;8(6):463–5. PubMed.CrossRefPubMed

11.

Romagnoli E, De Vita M, Burzotta F, Cortese B, Biondi-Zoccai G, Summaria F, et al. Radial versus femoral approach comparison in percutaneous coronary intervention with intraaortic balloon pump support: the RADIAL PUMP UP registry. Am Heart J. 2013;166(6):1019–26. PubMed.CrossRefPubMed

12.

Fujii T, Masuda N, Ijichi T, Kamiyama Y, Tanaka S, Nakazawa G, et al. Feasibility of 6 Fr intra-aortic balloon pumping via the femoral or brachial approach. J Invasive Cardiol. 2012;24(12):641–4. PubMed.PubMed

13.

Kumbasar SD, Semiz E, Sancaktar O, Yalcinkaya S, Deger N. Mechanical complications of intra-aortic balloon counterpulsation. Int J Cardiol. 1999;70(1):69–73. Jul 1 PubMed.CrossRefPubMed

14.

Mackenzie DJ, Wagner WH, Kulber DA, Treiman RL, Cossman DV, Foran RF, et al. Vascular complications of the intra-aortic balloon pump. Am J Surg. 1992;164(5):517–21. PubMed.CrossRefPubMed

15.

Parissis H, Soo A, Al-Alao B. Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump. J Cardiothorac Surg. 2011;6:147. PubMed Pubmed Central PMCID: 3216865.CrossRefPubMedCentralPubMed

16.

Patterson T, Perera D, Redwood SR. Intra-aortic balloon pump for high-risk percutaneous coronary intervention. Circ Cardiovasc Interv. 2014;7(5):712–20.CrossRefPubMed

Title: Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report
Authors: See W Low
Justin Z Lee
Kwan S Lee
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Cardiovascular Disorders / Issue 1/2015
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-015-0013-5

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The STEP trials

Springer Medicine

Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report

Abstract

Background

Case presentation

Conclusions

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2015

Recurrent Tako-Tsubo cardiomyopathy (TTC) in a pre-menopausal woman: late sequelae of a traumatic event?

Expression of circulating miR-486 and miR-150 in patients with acute myocardial infarction

Neither endothelial function nor carotid artery intima-media thickness predicts coronary computed tomography angiography plaque burden in clinically healthy subjects: a cross-sectional study

Left ventricular diastolic dysfunction in nonhuman primate model of dysmetabolism and diabetes

Validation of the VEINES-QOL quality of life instrument in venous leg ulcers: repeatability and validity study embedded in a randomised clinical trial

Cumulative effect of reproductive factors on ideal cardiovascular health in postmenopausal women: a cross-sectional study in central south China

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page