Apr 14, 2022 · Intra-aortic balloon pump (IABP) catheters have different radiopaque markers that vary between model types and manufacturers. IABP catheters are placed by two routes: the traditional femoral approach and the off-label axillary approach.

Oct 10, 2024 · ~2 cm below the superior aspect of the aortic arch. (Shepard 2019) At the level of the carina. Slightly above the left main bronchus. Anatomically, the IABP should be ~2 cm distal to the origin of the left subclavian artery. It may promote ischemia to the brain and left arm. Increases risk of aortic injury (e.g., dissection or pseudoaneurysm).

In this study we assessed whether the aortic knob is a reliable landmark for positioning the IABP and compared it with another potential landmark, the carina. Methods: We measured the distance from the top of the distal aortic arch (aortic knob) to the left subclavian artery (LSCA) on three-dimensional computed tomography angiography in 100 ...

Jun 16, 2016 · Radiopaque tip of IABP (arrow head) should be at the level of the carina (star) and at least 2cm below aortic knob (arrow). (see diagram left too high, right appropriately placed). Evidence of IABP migration/risk of migration • Decreased urine output may suggest distal catheter migration and obstruction of renal arteries.

Sep 23, 2023 · The intra-aortic balloon pump is a widely used and accessible cardiac support device capable of increasing cardiac output and reducing work on the left ventricle through diastolic augmentation and counterpulsation.

Aug 17, 2021 · The radio-opaque tip of the IABP should be adjacent to the inferior aspect of the aortic arch, or approximately 2 cm above the carina. This positioning is in order to prevent occlusion of the left subclavian (if too high, causing acute limb ischemia) or renal arteries (if too low, causing AKI).

Nov 23, 2011 · We propose a simple and reliable technique to properly position the intra-aortic balloon pump (IABP) catheter without the use of any sophisticated or expensive equipment in the intensive care unit if the catheter has migrated from the previously placed desired position.

Apr 14, 2022 · Knowledge and awareness of the different intra-aortic balloon pump (IABP) catheter radiopaque markers and routes of placement are necessary to identify correct or incorrect positioning of the IABP catheter on radiographs.

Apr 20, 2018 · Preoperative IABP implantation in high-risk open heart surgery, including: severely impaired left ventricular function, left main coronary disease, three vessels disease, significant ongoing ischemia in a large myocardial territory, hemodynamic instability …

We report results of a retrospective review of intra-aortic balloon pump (IABP) use in two Australasian centres and evaluate the effect of final IABP tip position on outcome. Indications for counterpulsation, patient demographics and in-hospital