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Ann Thorac Surg 1992;54:374-375
© 1992 The Society of Thoracic Surgeons

Articles

Safe intraaortic balloon pump placement through the ascending aorta using transesophageal ultrasound

Lewis J. Kaplan, MD, Darryl S. Weiman, MD, Nicholas Langan, MD, Alexis B. Sokil, MD, Glenn J.R. Whitman, MD*

Departments of Cardiothoracic Surgery and Cardiology, Medical College of Pennsylvania, Philadelphia, Pennsylvania USA

Accepted for publication March 30, 1992.

* Address reprint requests to Dr Whitman, Department of Cardiothoracic Surgery, Medical College of Pennsylvania Hospital, 3300 Henry Ave, Philadelphia, PA 19129.

Intraaortic balloon pumping salvages a substantial number of patients who fail to be weaned from cardiopulmonary bypass after an open heart operation. Patients with severe peripheral vascular disease may require ascending aortic balloon pump insertion. We describe a simple method of direct aortic puncture for intraaortic balloon pump placement using transesophageal ultrasound as a means of avoiding complications during insertion and documenting correct balloon position.




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[Abstract] [PDF]


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