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Related Experiment Video

Updated: Feb 24, 2026

The Intra-Aortic Balloon Pump

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Published on: February 5, 2021

Unilateral Headache Status after Intra-Aortic Balloon Pump Placement.

Garret M Weber¹, Alan L Gass², Shalvi B Parikh¹

¹Department of Anesthesiology, Westchester Medical Center, Valhalla, NY 10595, USA.

Case Reports in Medicine

|August 19, 2017

Summary

Intra-aortic balloon pump (IABP) placement via the axillary artery can cause severe headaches. Removing the pump resolved the patient's debilitating unilateral headaches, suggesting a link to IABP therapy.

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Area of Science:

Cardiology
Neurology
Vascular Surgery

Background:

Intra-aortic balloon pump (IABP) counterpulsation is a critical treatment for advanced coronary artery disease and heart failure.
Axillary artery access for IABP offers ambulation benefits over traditional femoral access, particularly for transplant candidates.
IABP complications typically involve vascular issues or hematologic effects.

Observation:

A patient awaiting heart transplant with ischemic cardiomyopathy required IABP via the left axillary artery due to severe symptoms.
Following IABP placement, the patient developed persistent, unilateral headaches unresponsive to conventional pain management.
The patient's headache resolved completely upon removal of the intra-aortic balloon pump.

Findings:

The case suggests a potential association between axillary artery IABP and the onset of severe unilateral headaches.
The headache's resolution after IABP removal strongly indicates the device as the causative factor.
This adverse event highlights a previously undocumented complication of axillary IABP therapy.

Implications:

Clinicians should consider IABP-induced headache in patients presenting with new-onset unilateral headaches after axillary artery cannulation.
Further research is warranted to elucidate the mechanism linking axillary IABP to cerebral vasodilation and headaches.
This finding may influence patient selection and monitoring protocols for axillary IABP placement.