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Ann Thorac Surg 1981;32:512-514
© 1981 The Society of Thoracic Surgeons

Articles

Direct Ascending Aortic Insertion of the "Percutaneous" Intraaortic Balloon Catheter in the Open Chest: Advantages and Precautions

Lawrence I. Bonchek, M.D.*, Gordon N. Olinger, M.D.

From the Department of Cardiothoracic Surgery, The Medical College of Wisconsin, Milwaukee, WI

Accepted for publication November 24, 1980.

* Address reprint requests to Dr. Bonchek, Professor and Chairman, Department of Cardiothoracic Surgery, Milwaukee County Medical Complex, 8700 W Wisconsin Ave, Milwaukee, WI 53226

When intraoperative balloon pump support is needed for patients who cannot be weaned from cardiopulmonary bypass and when the balloon catheter will not pass retrograde into the aorta from the femoral artery, the catheter must be inserted into the ascending aorta directly. We have found that the new Datascope "percutaneous" balloon catheter offers many advantages for direct insertion into the ascending aorta, but certain precautions are necessary to prevent cerebral emboli when the percutaneous balloon catheter is used this way.




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