Bilateral arm approach for percutaneous coronary intervention of unprotected left main supported by a modified intra-aortic balloon pump

Harsh Golwala, Soni Zacharias, Faisal Latif

Research output: Contribution to journalArticle


Patients in whom femoral arterial access is not feasible pose a challenge in terms of hemodynamic support during high-risk percutaneous coronary intervention. Patient's height adds another challenge given the fixed lengths of available intra-aortic balloon pumps, in terms of achieving an adequate infrasubclavian positioning in the descending thoracic aorta. We report a case where a modified intra-aortic balloon pump helped achieve a successful result in a patient undergoing intervention of an unprotected left main using bilateral arm approach.

Original languageEnglish (US)
Pages (from-to)183-184
Number of pages2
JournalJournal of Invasive Cardiology
Issue number4
Publication statusPublished - Apr 1 2012
Externally publishedYes



  • brachial approach
  • intra-aortic balloon pump
  • percutaneous coronary intervention
  • unprotected left main

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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