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Updated: May 17, 2026
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The Intra-Aortic Balloon Pump
Published on: February 5, 2021
Transthoracic intra-aortic balloon pump removal without repeat sternotomy.
Alan W Soo1, Haralabos Parissis
1Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, UK. drsoo@hotmail.com
Asian Cardiovascular & Thoracic Annals
|October 23, 2012
Summary
Transaortic balloon catheter insertion offers a viable alternative for intra-aortic balloon pump placement in patients with aortoiliac disease. This method utilizes video-assisted thoracoscopy for transthoracic balloon removal.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Minimally Invasive Procedures
Background:
- Intra-aortic balloon pump (IABP) assistance is crucial for hemodynamic support.
- Transfemoral cannulation is the standard IABP insertion method.
- Aortoiliac occlusive disease complicates standard IABP insertion.
Purpose of the Study:
- To present transaortic balloon catheter insertion as an alternative to transfemoral cannulation.
- To describe a novel technique for transthoracic balloon removal using video-assisted thoracoscopy.
Main Methods:
- Transaortic balloon catheter insertion technique.
- Utilization of video-assisted thoracoscopy (VATS) for device removal.
- Application in patients with significant aortoiliac occlusive disease.
Main Results:
- Transaortic insertion provides a practical alternative for IABP placement.
- Video-assisted thoracoscopic removal facilitates transthoracic balloon extraction.
- Successful application in challenging patient anatomy.
Conclusions:
- Transaortic balloon catheter insertion is a feasible alternative for IABP in complex cases.
- Video-assisted thoracoscopic removal simplifies transthoracic IABP procedures.
- This technique expands options for hemodynamic support in patients with severe aortoiliac disease.
