Abdominal aortic peripheral intervention to facilitate intra-aortic balloon pump support during high risk percutaneous coronary intervention: a case report.

作者信息

Low See W, Lee Justin Z, Lee Kwan S

机构信息

Department of Cardiovascular Diseases, University of Arizona South Campus, 2800 E Ajo Way, Tucson, AZ, 85713, USA.

Department of Internal Medicine, University of Arizona, 1501 N Campbell Ave, RM 6336, Tucson, AZ, 85724, USA.

出版信息

BMC Cardiovasc Disord. 2015 Mar 10;15:20. doi: 10.1186/s12872-015-0013-5.

BACKGROUND

The use of intra-aortic balloon pump (IABP) via the trans-femoral approach has been established for hemodynamic support in patients undergoing high-risk percutaneous coronary intervention (PCI). However, there are various challenges associated with its use, especially in patients with aortoiliac occlusive arterial disease.

CASE PRESENTATION

We describe a case of high-risk PCI with IABP support complicated by intra-procedural detection of severe abdominal aortic stenosis that was successfully overcome with angioplasty of the stenotic lesion.

CONCLUSIONS

Our report highlights distal abdominal aortic stenosis as a potential barrier to successful PCI with IABP support, and angioplasty as an effective means to overcome it.