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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
242
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
198
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

178
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

306
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
306
Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Related Experiment Video

Updated: Sep 24, 2025

The Intra-Aortic Balloon Pump
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Radiology of Intra-Aortic Balloon Pump Catheters.

Nicholas G Rhodes1, Tucker F Johnson1, James H Boyum1

  • 1Department of Radiology (N.G.R., T.F.J., J.H.B., A.K., B.D.H., A.T.F.) and Van Cleve Cardiac Regenerative Medicine Program, Department of Cardiovascular Medicine (A.B.), Mayo Clinic, 200 First St SW, Rochester, MN 55905.

Radiology. Cardiothoracic Imaging
|May 4, 2022
PubMed
Summary

Radiographs are crucial for confirming correct intra-aortic balloon pump (IABP) catheter placement. This review details optimal and suboptimal positioning, considering device variations and access routes for vascular procedures.

Keywords:
AnatomyAortaCTCardiacCardiac Assist DevicesCathetersConventional RadiographyPercutaneousVascular

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Area of Science:

  • Radiology and Medical Imaging
  • Cardiovascular Interventions
  • Medical Device Technology

Background:

  • Accurate placement of intra-aortic balloon pump (IABP) catheters is critical for effective cardiac support.
  • Conventional radiography is a primary imaging modality for verifying IABP catheter position.
  • Variations in catheter design and access routes (femoral vs. axillary) necessitate clear imaging guidelines.

Purpose of the Study:

  • To highlight correct and incorrect positioning of intra-aortic balloon pump catheters using radiography.
  • To emphasize the importance of recognizing variability in radiopaque markers across different catheter models.
  • To compare imaging considerations for axillary versus femoral catheter placement routes.

Main Methods:

  • Review of radiographic images demonstrating IABP catheter placement.
  • Analysis of anatomical landmarks for optimal and suboptimal positioning.
  • Discussion of imaging techniques for both femoral and axillary access routes.

Main Results:

  • Radiographs effectively demonstrate the position of IABP catheters in the aorta.
  • Specific radiopaque markers vary between IABP models, impacting interpretation.
  • Axillary and femoral approaches present distinct radiographic appearances and potential positioning challenges.

Conclusions:

  • Conventional radiography is essential for confirming appropriate intra-aortic balloon pump catheter placement.
  • Awareness of device-specific markers and access route variations improves diagnostic accuracy.
  • Standardized radiographic assessment aids in preventing complications associated with malpositioned catheters.