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Percutaneous placement of an intra-aortic balloon pump in the left axillary/subclavian position provides safe, ambulatory long-term support as bridge to heart transplantation

dc.creatorGuillermo Torre Amione
dc.date2013
dc.date.accessioned2018-10-18T20:34:56Z
dc.date.available2018-10-18T20:34:56Z
dc.identifier.issn22131779
dc.identifier.doi10.1016/j.jchf.2013.06.002
dc.identifier.urihttp://hdl.handle.net/11285/630399
dc.descriptionObjectives: This study evaluated the feasibility, tolerability, and efficacy of a strategy for percutaneous intra-aortic balloon pump (IABP) placement through the left axillary-subclavian artery to provide mechanical circulatory support in patients with end-stage heart failure as a bridge to heart transplantation. Background: The transfemoral approach to IABP placement is associated with major disadvantages, including the risk for infection and limitation of patient mobility in those requiring extended support. Methods: We developed a percutaneous technique for placing IABPs in the left axillary artery that permits upright sitting and ambulation. We performed a retrospective review of data from patients who had undergone left axillary IABP implantation between 2007 and2012. Results: Fifty patients who received a left axillary IABP as a bridge to transplantation were identified, of whom 42 (84%) underwent heart or heart-multiorgan transplantation. Cumulative survival on IABP support was 92%, and post-transplant 90-day survival was 90%. Median duration of support was 18 days. Four of 50 patients (8%) died while on IABP support, and 3 (6%) received greater mechanical circulatory support. Four patients (8%) had clinically significant thromboembolic or bleeding events without long-term sequelae. The most common minor adverse event was IABP malposition, in 22 patients (44%). Prolonged IABP support in the heart-transplantation cohort was associated with significant improvements in mean pulmonary artery pressure and in creatinine and total bilirubin concentrations. Conclusions: Percutaneous insertion of an IABP through the left axillary artery is a feasible and relatively well-tolerated strategy tobridge patients with end-stage heart failure to heart transplantation. This form of mechanical-device treatment permits upright sitting and ambulation in those requiring extended support. © 2013 American College of Cardiology Foundation.
dc.languageeng
dc.relationhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84885188993&doi=10.1016%2fj.jchf.2013.06.002&partnerID=40&md5=84561be600306745112f6ef519a59842
dc.relationInvestigadores
dc.relationEstudiantes
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourceJACC: Heart Failure
dc.subjectbilirubin
dc.subjectcreatinine
dc.subjectadult
dc.subjectarticle
dc.subjectassisted circulation
dc.subjectballoon catheter
dc.subjectballoon rupture
dc.subjectbilirubin blood level
dc.subjectcardiovascular disease
dc.subjectclinical article
dc.subjectclinical effectiveness
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectcreatinine blood level
dc.subjectdevice removal
dc.subjectfeasibility study
dc.subjectfemale
dc.subjectguide wire
dc.subjectheart failure
dc.subjectheart transplantation
dc.subjecthuman
dc.subjectintraaortic balloon pump
dc.subjectlimb ischemia
dc.subjectlong term care
dc.subjectlung artery pressure
dc.subjectmale
dc.subjectmechanical circulatory support
dc.subjectmedical device complication
dc.subjectneedle
dc.subjectorthotopic heart transplantation
dc.subjectparesthesia
dc.subjectpneumothorax
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjectsafety
dc.subjectsubclavian artery
dc.subjectsurvival rate
dc.subjectthromboembolism
dc.subjecttransient ischemic attack
dc.subjectaxillary artery
dc.subjectheart assist device
dc.subjectheart failure
dc.subjectheart transplantation
dc.subjectmiddle aged
dc.subjectpatient safety
dc.subjectprocedures
dc.subjectprosthesis implantation
dc.subjecttime
dc.subjectAxillary Artery
dc.subjectFeasibility Studies
dc.subjectFemale
dc.subjectHeart Failure
dc.subjectHeart Transplantation
dc.subjectHeart-Assist Devices
dc.subjectHumans
dc.subjectIntra-Aortic Balloon Pumping
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPatient Safety
dc.subjectProsthesis Implantation
dc.subjectRetrospective Studies
dc.subjectSubclavian Artery
dc.subjectTime Factors
dc.subject.classification7 INGENIERÍA Y TECNOLOGÍA
dc.titlePercutaneous placement of an intra-aortic balloon pump in the left axillary/subclavian position provides safe, ambulatory long-term support as bridge to heart transplantation
dc.typeArtículo
dc.identifier.volume1
dc.identifier.issue5
dc.identifier.startpage382
dc.identifier.endpage388
refterms.dateFOA2018-10-18T20:34:56Z


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