PMID- 31811112
OWN - NLM
STAT- MEDLINE
DCOM- 20200424
LR  - 20200424
IS  - 1941-5923 (Electronic)
IS  - 1941-5923 (Linking)
VI  - 20
DP  - 2019 Dec 7
TI  - Intra-Aortic Balloon Pump Catheter Insertion Using a Novel Left External Iliac 
      Artery Approach in A Case of Chronic Heart Failure Due to Dilated Cardiomyopathy.
PG  - 1826-1829
LID - 10.12659/AJCR.920554 [doi]
AB  - BACKGROUND The use of an intra-aortic balloon pump (IABP) in patients with 
      advanced heart failure can provide interim mechanical support as a bridge to 
      further treatment, including cardiac transplantation. The femoral artery, 
      axillary artery, and subclavian artery are the main approaches to IABP catheter 
      placement. A case is reported of the use of a left external iliac artery approach 
      to IABP catheter placement using a subcutaneous channel in a patient with chronic 
      heart failure. CASE REPORT A 67-year-old woman presented with a history of heart 
      failure. She had New York Heart Association (NYHA) Functional Class IV symptoms. 
      The patient had a history of chronic heart failure due to dilated cardiomyopathy 
      with a left ventricular ejection fraction of 25%, severe mitral regurgitation, 
      paroxysmal atrial fibrillation, and hypothyroidism. Immediate pharmacological 
      treatment began, and an IABP catheter was initially inserted using femoral artery 
      access. During 115 days of hospital treatment, several unsuccessful attempts were 
      made to remove the IABP catheter. Due to prolonged patient immobility, the IABP 
      catheter access was changed from the femoral artery to the external iliac artery. 
      A prosthetic Dacron graft and a subcutaneous channel were used. Optimal 
      pharmacotherapy commenced, and the patient underwent rehabilitation and 
      mobilization with significant improvement in cardiac function. At 195 days after 
      changing the IABP catheter access, the patient underwent successful heart 
      transplantation. CONCLUSIONS This report demonstrated that in a patient with 
      chronic heart failure requiring long-term femoral IABP catheter placement, an 
      external iliac artery approach using a subcutaneous channel provided a bridge to 
      cardiac transplantation.
FAU - Dziekiewicz, Miroslaw
AU  - Dziekiewicz M
AD  - Department of Vascular and Endovascular Surgery, Military Institute of Medicine, 
      Warsaw, Poland.
FAU - Banaszewski, Marek
AU  - Banaszewski M
AD  - Department of Intensive Cardiac Therapy, Institute of Cardiology, Warsaw, Poland.
FAU - Kuc, Mateusz
AU  - Kuc M
AD  - Department of Cardiac Surgery and Transplantology, Institute of Cardiology, 
      Warsaw, Poland.
FAU - Stepinska, Janina
AU  - Stepinska J
AD  - Department of Intensive Cardiac Therapy, Institute of Cardiology, Warsaw, Poland.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20191207
PL  - United States
TA  - Am J Case Rep
JT  - The American journal of case reports
JID - 101489566
SB  - IM
MH  - Aged
MH  - Cardiomyopathy, Dilated/*complications/*surgery
MH  - Chest Pain
MH  - Dyspnea
MH  - Female
MH  - Heart Failure/*etiology/*surgery
MH  - Humans
MH  - Iliac Artery/*surgery
MH  - Intra-Aortic Balloon Pumping/*methods
PMC - PMC6913267
COIS- Conflict of interest: None declared
EDAT- 2019/12/08 06:00
MHDA- 2020/04/25 06:00
PMCR- 2019/12/07
CRDT- 2019/12/08 06:00
PHST- 2019/12/08 06:00 [entrez]
PHST- 2019/12/08 06:00 [pubmed]
PHST- 2020/04/25 06:00 [medline]
PHST- 2019/12/07 00:00 [pmc-release]
AID - 920554 [pii]
AID - 10.12659/AJCR.920554 [doi]
PST - epublish
SO  - Am J Case Rep. 2019 Dec 7;20:1826-1829. doi: 10.12659/AJCR.920554.