Bilateral arm approach for percutaneous coronary intervention of unprotected left main supported by a modified intra-aortic balloon pump |
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Authors: | Golwala Harsh Zacharias Soni Latif Faisal |
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Affiliation: | University of Oklahoma Health Sciences Center, 920 Stanton L Young Blvd., WP #3010, Oklahoma City, OK 73104 USA. |
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Abstract: | Patients in whom femoral arterial access is not feasible pose a challenge in terms of hemodynamic support during high-risk percutaneous coronary intervention. Patient's height adds another challenge given the fixed lengths of available intra-aortic balloon pumps, in terms of achieving an adequate infrasubclavian positioning in the descending thoracic aorta. We report a case where a modified intra-aortic balloon pump helped achieve a successful result in a patient undergoing intervention of an unprotected left main using bilateral arm approach. |
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