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Percutaneous wire-guided balloon pumping

R C Leinbach, J Goldstein, H K Gold

    The American Journal of Cardiology
    |May 1, 1982
    PubMed
    Summary
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    A new percutaneous wire-guided double lumen intraaortic balloon pump demonstrated high success rates for insertion and excellent counterpulsation. This technique proved simple, atraumatic, and effective for patients, including those with cardiogenic shock.

    Area of Science:

    • Cardiovascular Medicine
    • Medical Devices
    • Interventional Cardiology

    Background:

    • Intra-aortic balloon pumps (IABP) are crucial for hemodynamic support.
    • Percutaneous insertion techniques aim to minimize procedural risks.
    • Evaluating novel IABP designs and insertion methods is essential for improving patient outcomes.

    Purpose of the Study:

    • To assess the safety and efficacy of a novel percutaneous wire-guided double lumen intraaortic balloon pump.
    • To evaluate the success rate of insertion and the quality of counterpulsation.
    • To identify potential complications associated with the device and technique.

    Main Methods:

    • A 40 ml Avcothane balloon pump with a central lumen for a 0.035-inch wire guide was tested.
    • The standard Seldinger technique was employed for percutaneous insertion.

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  • The study included 44 patients, with 15 experiencing cardiogenic shock.

    • Main Results:

    • Successful insertion was achieved in 90% of patients (40 out of 44).
    • No significant vascular trauma was observed during insertion.
    • Excellent counterpulsation and good central pressure monitoring fidelity were reported.
    • Iliofemoral thrombosis occurred in 5% of patients.

    Conclusions:

    • The percutaneous wire-guided double lumen intraaortic balloon pump is a simple, successful, and atraumatic method for IABP insertion.
    • The technique provides effective hemodynamic support and reliable pressure monitoring.
    • While generally safe, potential complications like iliofemoral thrombosis should be considered.