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

作者：Low See W; Lee Justin Z; Lee Kwan S^*

来源：BMC Cardiovascular Disorders, 2015, 15(1): 20.

DOI：10.1186/s12872-015-0013-5

• Abdominal aortic stenosis
• Intra aortic balloon pump
• Percutaneous coronary intervention

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.

• 出版日期2015-3-10