Feasibility of 6 Fr intra-aortic balloon pumping via the femoral or brachial approach

To demonstrate safety and efficacy of new 6 Fr intra-aortic balloon pumping (IABP) system. Access-site complications have been reported to increase adverse events following PCI. Some reports have shown access-site complications in conventional 8-Fr compatible IABP system. The new 6 Fr IABP system ma...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2012-12, Vol.24 (12), p.641-644
Main Authors: Fujii, Toshiharu, Masuda, Naoki, Ijichi, Takeshi, Kamiyama, Yoshinari, Tanaka, Shigemitsu, Nakazawa, Gaku, Shinozaki, Norihiko, Matsukage, Takashi, Ogata, Nobuhiko, Ikari, Yuji
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Brachial Artery
Coronary Vessels - physiology
Feasibility Studies
Female
Femoral Artery
Hemodynamics - physiology
Hemorrhage - epidemiology
Humans
Incidence
Intra-Aortic Balloon Pumping - adverse effects
Intra-Aortic Balloon Pumping - instrumentation
Intra-Aortic Balloon Pumping - methods
Length of Stay
Male
Middle Aged
Percutaneous Coronary Intervention - adverse effects
Percutaneous Coronary Intervention - instrumentation
Percutaneous Coronary Intervention - methods
Retrospective Studies
Risk Factors
Treatment Outcome
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Summary:To demonstrate safety and efficacy of new 6 Fr intra-aortic balloon pumping (IABP) system. Access-site complications have been reported to increase adverse events following PCI. Some reports have shown access-site complications in conventional 8-Fr compatible IABP system. The new 6 Fr IABP system may reduce the complication rate due to the smaller size. We extracted medical records for patients who underwent elective percutaneous coronary intervention under prophylactic 6 Fr or 8 Fr IABP assistance from January 2006 to December 2009 at Tokai University School of Medicine. The clinical outcomes were compared between 6 Fr and 8 Fr or between transfemoral and transbrachial IABP. A total of 42 cases were extracted, including 20 cases using 6 Fr IABP (47.6%) and 22 cases using 8 Fr IABP (52.4%). The 6 Fr IABP included 15 cases of transbrachial approach (75.0%) and 5 cases of transfemoral approach (25.0%). All cases of 8 Fr IABP were via transfemoral approach. The bedrest time was clearly shorter in the 6 Fr IABP group (75.8 ± 139.8 minutes vs 360.0 ± 104.7 minutes in the 8 Fr IABP group; P
ISSN:1557-2501