Intra-Aortic Balloon Pump

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Valerian Fernandes - One of the best experts on this subject based on the ideXlab platform.

  • Transaxillary Intra-Aortic Balloon Pump Migration Minimized with a Long Introducer Sheath
    Cardiovascular Revascularization Medicine, 2020
    Co-Authors: Andrew Dorsey, Ahmadreza Karimianpour, Valerian Fernandes
    Abstract:

    Abstract Intra-Aortic Balloon Pump (IABP) has been used more recently as a bridge to cardiac transplantation in hospitalized patients. Femoral IABP limits mobility and rehabilitation; thus, transaxillary approach has been described. However, transaxillary IABP may migrate causing significant vascular injury, and potential death or disqualification from transplantation. We describe a case of a 67-year-old male with transaxillary IABP inserted to allow for pre-transplant physical rehabilitation. Due to the unfolded nature of his aorta, the IABP coiled onto itself and migrated several times. We employed a novel technique to mitigate IABP migration using a long 25-cm introducer sheath.

  • TRANSAXILLARY Intra-Aortic Balloon Pump MIGRATION MINIMIZED WITH A LONG INTRODUCER SHEATH
    Journal of the American College of Cardiology, 2020
    Co-Authors: Ahmadreza Karimianpour, Valerian Fernandes
    Abstract:

    Intra-Aortic Balloon Pump (IABP) is a treatment for cardiogenic shock and bridge to advanced therapies. Femoral IABP limits mobility and results in pre-transplant debility. Due to the anatomy of aortic arch branch vessels and patient ambulation, transaxillary IABPs may migrate. This can cause

Pascal Leprince - One of the best experts on this subject based on the ideXlab platform.

Nicolas Brechot - One of the best experts on this subject based on the ideXlab platform.

  • intra aortic Balloon Pump protects against hydrostatic pulmonary oedema during peripheral venoarterial extracorporeal membrane oxygenation
    European heart journal. Acute cardiovascular care, 2018
    Co-Authors: Nicolas Brechot, Guillaume Lebreton, Charlesedouard Luyt, Pierre Demondion, Francesca Santi, Tai Pham, Apostolos Dalakidis, Laetitia Gambotti, Matthieu Schmidt
    Abstract:

    Background:Increased left ventricular afterload during peripheral venoarterial-extracorporeal membrane oxygenation (VA-ECMO) support frequently causes hydrostatic pulmonary oedema. Because physiological studies demonstrated left ventricular afterload decrease during VA-ECMO assistance combined with the Intra-Aortic Balloon Pump (IABP), we progressively changed our standard practice systematically to associate an IABP with VA-ECMO. This study aimed to evaluate IABP efficacy in preventing pulmonary oedema in VA-ECMO-assisted patients.Methods:A retrospective single-centre study.Results:Among 259 VA-ECMO patients included, 104 received IABP. Weinberg radiological score-assessed pulmonary oedema was significantly lower in IABP+ than IABP– patients at all times after ECMO implantation. This protection against pulmonary oedema persisted when death and switching to central ECMO were used as competing risks (subhazard ratio 0.49, 95% confidence interval (CI) 0.33–0.75; P<0.001). Multivariable analysis retained IAB...

  • intra aortic Balloon Pump effects on macrocirculation and microcirculation in cardiogenic shock patients supported by venoarterial extracorporeal membrane oxygenation
    Critical Care Medicine, 2014
    Co-Authors: Thibaut Petroni, Anatole Harrois, Julien Amour, Guillaume Lebreton, Nicolas Brechot, Sebastien Tanaka, Charlesedouard Luyt, Jeanlouis Trouillet, Jean Chastre, Pascal Leprince
    Abstract:

    Objectives:This study was designed to assess the effects on macrocirculation and microcirculation of adding an Intra-Aortic Balloon Pump to peripheral venoarterial extracorporeal membrane oxygenation in patients with severe cardiogenic shock and little/no residual left ventricular ejection.Design:A

Sripal Bangalore - One of the best experts on this subject based on the ideXlab platform.

Guillaume Lebreton - One of the best experts on this subject based on the ideXlab platform.

  • intra aortic Balloon Pump protects against hydrostatic pulmonary oedema during peripheral venoarterial extracorporeal membrane oxygenation
    European heart journal. Acute cardiovascular care, 2018
    Co-Authors: Nicolas Brechot, Guillaume Lebreton, Charlesedouard Luyt, Pierre Demondion, Francesca Santi, Tai Pham, Apostolos Dalakidis, Laetitia Gambotti, Matthieu Schmidt
    Abstract:

    Background:Increased left ventricular afterload during peripheral venoarterial-extracorporeal membrane oxygenation (VA-ECMO) support frequently causes hydrostatic pulmonary oedema. Because physiological studies demonstrated left ventricular afterload decrease during VA-ECMO assistance combined with the Intra-Aortic Balloon Pump (IABP), we progressively changed our standard practice systematically to associate an IABP with VA-ECMO. This study aimed to evaluate IABP efficacy in preventing pulmonary oedema in VA-ECMO-assisted patients.Methods:A retrospective single-centre study.Results:Among 259 VA-ECMO patients included, 104 received IABP. Weinberg radiological score-assessed pulmonary oedema was significantly lower in IABP+ than IABP– patients at all times after ECMO implantation. This protection against pulmonary oedema persisted when death and switching to central ECMO were used as competing risks (subhazard ratio 0.49, 95% confidence interval (CI) 0.33–0.75; P<0.001). Multivariable analysis retained IAB...

  • intra aortic Balloon Pump effects on macrocirculation and microcirculation in cardiogenic shock patients supported by venoarterial extracorporeal membrane oxygenation
    Critical Care Medicine, 2014
    Co-Authors: Thibaut Petroni, Anatole Harrois, Julien Amour, Guillaume Lebreton, Nicolas Brechot, Sebastien Tanaka, Charlesedouard Luyt, Jeanlouis Trouillet, Jean Chastre, Pascal Leprince
    Abstract:

    Objectives:This study was designed to assess the effects on macrocirculation and microcirculation of adding an Intra-Aortic Balloon Pump to peripheral venoarterial extracorporeal membrane oxygenation in patients with severe cardiogenic shock and little/no residual left ventricular ejection.Design:A