Insertion of the Intraaortic Balloon Pump via the Ascending Aorta or the Aortic Arch Using the HEARTSTRING Proximal Seal System

Purpose: The HEARTSTRING Proximal Seal System is used to avoid aortic clamping to insert the intraaortic balloon pump (IABP) in the ascending aorta or the aortic arch. This technique is used when calcification or atheroma prevents side clamping of the ascending aorta or the aortic arch. Description: A vein graft or a small-caliber vascular prosthesis for the later insertion of the IABP is sewn to the ascending aorta or the aortic arch using the HEARTSTRING Proximal Seal System. Evaluation: In our department, this technique is applied whenever insertion of the IABP is not feasible via the femoral arteries. Conclusion: The technique allows the safe insertion of the IABP via the ascending aorta or the aortic arch.