Background: We have presented our experience with a novel percutaneous approach for axillary artery implant of intra-aortic balloon pumps. The axillary approach permits up-right posture and ambulation, but such enhanced mobility may predispose to higher risk of IABP malposition with unique complications. We present a few complications here.
Methods: We conducted a retrospective review of patients that received percutaneously inserted axillary IABP at Houston Methodist Hospital from October, 2015 to February, 2018.
Results: A total of 75 patients had axillary IABP insertion during the study period. Table 1 describes the specific details of these patients. Two patients had gross malposition of the IABP with folding into the arch of the aorta and five patients had mesenteric ischemia secondary to the IABP tip occluding superior mesenteric artery (SMA).
Conclusions: While utilization of axillary approach for IABP implant provides an advantage of ambulation, it poses unique challenges that need early recognition and prompt management. These complications are typically not common in non-ambulating patients with a femoral IABP.
