A new technique for sheathless percutaneous intraaortic balloon catheter insertion

✍ Scribed by Nash, Ira S. ;Lorell, Beverly H. ;Fishman, Robert F. ;Baim, Donald S. ;Donahue, Colleen ;Diver, Daniel J.

• Publisher: John Wiley and Sons
• Year: 1991
• Tongue: English
• Weight: 427 KB
• Volume: 23
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/ccd.1810230116

✦ Synopsis

Intraaortic balloon counterpulsation is helpful for controlling myocardial ischemia and providing hemodynamic support, but its applicability is limited by lower extremity ischemic complications in a significant percentage of patients. We developed a new sheathless technique for percutaneous intraaortic balloon catheter insertion which reduces the effective catheter diameter. A pilot study using this new technique resulted in a 10% rate of limb ischemia, without compromise of balloon function. We conclude that this technique may be useful in reducing the incidence of limb ischemia associated with intraaortic balloon counterpulsation.