Abstract
Objective
Axillary Intra-aortic balloon pump (IABP) has been increasingly utilized for hemodynamic
support in heart failure patients. Vascular complications associated with axillary
IABP such as dissection or rupture are relatively rare but not negligible that could
negatively affect clinical outcomes. We summarized our experiences.
Methods
This is a retrospective study reviewing of all patients receiving an axillary IABP
between June 2016 and November 2020. A total of 199 patients underwent percutaneous
axillary IABP placement. 6 patients (6/199, 3.0%) were complicated with arterial/aortic
dissection or rupture during the procedures or the course of treatment. We described
their clinical presentations and outcomes.
Results
Vascular complications included acute type A aortic dissection in 2 patients, descending
aortic rupture in 1 patient, abdominal aortic rupture along with type B aortic dissection
in 1 patient, and the localized left subclavian artery dissection in 2 patient. 2
type A aortic dissection cases were surgically treated: 1 with emergent left ventricle
assist device and ascending aorta replacement, the other with emergent left ventricle
assist device. Emergent endovascular treatment was successfully performed in 2 aortic
rupture cases. The left subclavian artery dissection cases were managed medically.
The postoperative/treatment course was uneventful in all patients.
Conclusion
Percutaneous axillary IABP therapy can cause significant vascular complications. Early
diagnosis and prompt treatment would be the key to improve the clinical outcomesv.
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Article Info
Publication History
Published online: January 04, 2022
Accepted:
December 22,
2021
Received in revised form:
December 13,
2021
Received:
November 19,
2021
Footnotes
Meeting presentation: This study was presented at the 70th Annual Scientific Session of the American College of Cardiology, May 15-17, 2021.
Identification
Copyright
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