{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:14:13Z","timestamp":1769116453717,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In contemporary Cardiac Intensive Care Unit (CICU), bedside intra\u2010aortic balloon pump (IABP) insertion under echocardiographic guidance may be an attractive option for selected patients with cardiogenic shock (CS). Currently available data on this approach are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to assess the feasibility and safety of bedside IABP insertion, as compared to fluoroscopic\u2010guided insertion in the Catheterization Laboratory (CathLab), and to describe the clinical features of patients receiving bedside IABP insertion using a standardized technique in real\u2010world CICU practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We prospectively evaluated all patients admitted the CICU who received transfemoral IABP between June 2020 and October 2021. The overall study cohort was divided according to implant strategy in bedside and CathLab groups. The primary outcome was correct radiographic IABP positioning at the first bedside chest X\u2010ray obtained after insertion. Secondary outcomes included IABP\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 115 patients, bedside IABP insertion was performed in 35 (30.4%) cases, mainly presenting with CS\u2010related to acute decompensated heart failure (ADHF) (68.6 vs 33.8%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), with lower LVEF, higher proportion of right ventricular involvement and higher need of inotropes\/vasopressors, compared to those receiving CathLab insertion. Bedside IABP insertion resulted feasible and safe, with similar rates of correct IABP positioning (82.9 vs. 82.5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.963) and IABP\u2010related major vascular complications (5.7 vs. 5.0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.874), as compared to CathLab positioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study suggests the feasibility and safety of bedside IABP insertion, which could be of relevant interest in patients with ADHF\u2010related CS who may not need coronary angiography or other urgent CathLab procedures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30197","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T08:33:34Z","timestamp":1649925214000},"page":"1976-1983","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Bedside intra\u2010aortic balloon pump insertion in cardiac intensive care unit: A single\u2010center experience"],"prefix":"10.1002","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5986-049X","authenticated-orcid":false,"given":"Luca","family":"Baldetti","sequence":"first","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2130-1964","authenticated-orcid":false,"given":"Alessandro","family":"Beneduce","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Boccellino","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan 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University Hospital of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Napolano","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Gramegna","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Calvo","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorio","family":"Pazzanese","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Milan 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