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Ann Thorac Surg 1992;53:162
© 1992 The Society of Thoracic Surgeons

Articles

Sheathless insertion of the percutaneous intraaortic balloon pump: An alternate method

Steven J. Phillips, MD*, Mark Tannenbaum, MD, Robert H. Zeff, MD, L.A. Iannone, MD, Magdi Ghali, MD, Chamnahn Kongtahworn, MD

Mercy Hospital Medical Center, Des Moines, Iowa, USA

Accepted for publication August 12, 1991.

* Address reprint requests to Dr Phillips, Mercy Hospital Medical Center, 6th and University Ave, Des Moines, IA 50314.

A technique is described that allows insertion of a standard percutaneous intraaortic balloon without use of the larger 12F sheath. Standard 9.5-cm. Percor balloons were inserted in a series of patients without using the provided sheath. Elimination of the sheath reduced the potential vascular complications related to the extra bulk placed in the femoral artery by the sheath. No serious complications were noted in more than 25 patients.




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