Intra-aortic balloon contrapulsation through subclavian access as a bridge to heart transplantation. Case report.

Intra-aortic balloon contrapulsation through subclavian access as a bridge to heart transplantation. Case report.

Cristhian Felipe Ramirez Ramos
Mateo Aranzazu-Uribe; Alejandra Pamplona; Catalina Gallego; Juan David Uribe-Molano; Juan Muñoz Sierra; Diego Vanegas-Cardona; Carlos Tenorio-Mejia; Carlos Alberto Eusse-Gomez; Carlos Esteban Uribe-Londoño
Peruvian Archives of Cardiology and Cardiovascular Surgery

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Publication date: 07/2021

Advanced heart failure is a major health problem, the only definitive alternative for management being heart transplantation or ventricular assist devices. The intra-aortic balloon pump for femoral access as a bridge to transplantation, which is still in frequent use, has the disadvantage of limiting patient activity, exposing you to the complications of immobility, which may threaten the success of the procedure or, at least, complicate recovery after transplant. Access through the subclavian artery for implantation has become an attractive alternative since it avoids all these limitations of the femoral access and there is evidence that favors its use as a first alternative in this context. We present the first cases of subclavian contrapulsation balloon implantation in a highly complex cardiovascular care center in Colombia.

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