{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T12:39:54Z","timestamp":1773146394004,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>An intra-aortic balloon pump (IABP) is a mechanical circulatory support platform with a relatively low complication rate. Axillary access is increasingly utilized to allow rehabilitation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a case of femoral IABP inserted into the femoral artery percutaneously via a sheathless technique that allowed the patient to ambulate and physically rehabilitate over 102 days until cardiac transplantation. The patient was able to progress with the protocolized rehabilitation programme to up to 3500\u2005ft walking distance. The IABP was removed at the time of transplantation without any vascular complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>While axillary IABP offers an opportunity to rehabilitate, it has an unacceptably high complication rate, often resulting in vascular injury that adds morbidity to an acutely ill cohort. In this case, we found that sheathless femoral IABP access offered stability for a prolonged time while avoiding pain, bleeding, infection, and vascular injury. We hypothesize that this is due to less indwelling prosthetic material usage and also device flexibility, allowing conformation to the natural course of the femoral artery. We are encouraged by this case to use a sheathless access approach for patients expected to require prolonged IABP support.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytad394","type":"journal-article","created":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T12:33:38Z","timestamp":1692189218000},"source":"Crossref","is-referenced-by-count":1,"title":["A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7220-1114","authenticated-orcid":false,"given":"Mohammad A","family":"Al-Ani","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida College of Medicine , 1329 SW 16th Street, PO Box 100288, Gainesville, FL 32608 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrett","family":"Snipes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Florida College of Medicine , Gainesville, FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex M","family":"Parker","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida College of Medicine , 1329 SW 16th Street, PO Box 100288, Gainesville, FL 32608 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard A","family":"Kerensky","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida College of Medicine , 1329 SW 16th Street, PO Box 100288, Gainesville, FL 32608 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"key":"2023083016421352800_ytad394-B1","doi-asserted-by":"crossref","first-page":"e006971","DOI":"10.1161\/CIRCHEARTFAILURE.120.006971","article-title":"Intra-aortic balloon pump bridging to heart transplantation","volume":"13","author":"Huckaby","year":"2020","journal-title":"Circ Heart Fail"},{"key":"2023083016421352800_ytad394-B2","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1177\/021849230701500510","article-title":"Long intraaortic balloon treatment time leads to more vascular complications","volume":"15","author":"Christenson","year":"2007","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"2023083016421352800_ytad394-B3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.3109\/17482941.2014.889311","article-title":"Duration of intra-aortic balloon pump use and related complications","volume":"16","author":"Boudoulas","year":"2014","journal-title":"Acute Card Care"},{"key":"2023083016421352800_ytad394-B4","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.avsg.2021.12.078","article-title":"Significant vascular complications in percutaneous axillary intra-aortic balloon 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safe, ambulatory long-term support as bridge to heart transplantation","volume":"1","author":"Estep","year":"2013","journal-title":"JACC Heart Fail"},{"key":"2023083016421352800_ytad394-B11","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/j.cardfail.2020.05.010","article-title":"Safe ambulation of critically ill cardiac patients with femoral balloon pumps: a case cohort study","volume":"26","author":"Ramsey","year":"2020","journal-title":"J Card Fail"},{"key":"2023083016421352800_ytad394-B12","doi-asserted-by":"crossref","first-page":"S111","DOI":"10.1016\/j.cardfail.2017.07.325","article-title":"Ambulation with femoral IABP, pumped and moving!","volume":"23","author":"Ramsey","year":"2017","journal-title":"J Card Fail"},{"key":"2023083016421352800_ytad394-B13","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1177\/0267659117727825","article-title":"Vascular complications following intra-aortic balloon pump implantation: an updated 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