Journal article
Comparison of Heart Failure Cardiogenic Shock patients with Axillary and Femoral Intra-aortic Balloon Pump: A CSWG report
Journal of cardiac failure
Aug 2025
Abstract
To describe the outcomes of patients receiving axillary (Ax) IABP and compare with those receiving Femoral (Fem) IABP for heart failure related cardiogenic shock (HF-CS).
IABPs are traditionally placed via the femoral artery. Single center studies have shown the utility of axillary placement to promote ambulation. Utility of Ax IABP in CS has not been established.
Data from the Cardiogenic Shock Working Group (CSWG), a multi-center academic consortium, was analyzed from 2020-2023. We examined demographic, metabolic, hemodynamic characteristics and outcomes of HF-CS patients treated with Ax-IABP and compared them to those who primarily received a Fem- IABP.
Out of 6201 CS patients in the registry, 557 (8.9%) patients received an IABP for HF-CS, of whom 244 (43.8%) and 313 (56.2%) received Ax-IABP and Fem-IABP respectively. Compared to Fem-IABP, Ax-IABP patients were more likely to have prior intra-cardiac defibrillators (42.5% vs 68.9%, p<0.001). Time to IABP implant from admission (7.9±10.6 vs 1.8±6.1, p<0.01) and duration of support (9.6±14.6 vs 4.0±4.5, p<0.01) were longer among Ax-IABP, relative to Fem-IABP. Ax-IABP patients were more likely to undergo heart replacement therapy (65% vs 21%, p<0.001) compared to the Fem-IABP cohort. The rate of reported complications was similar between the two groups.
Axillary IABP is being utilized beyond single center reports to support HF-CS mostly as a bridge to heart replacement therapies. Its use might provide advantages over fem-IABP.
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Details
- Title
- Comparison of Heart Failure Cardiogenic Shock patients with Axillary and Femoral Intra-aortic Balloon Pump: A CSWG report
- Creators
- Arvind Bhimaraj - Houston MethodistArthur R. Garan - Beth Israel Deaconess Medical CenterQiuyue Kong - Tufts Medical CenterJu Kim - Houston MethodistMohit Pahuja - University of OklahomaAjar Kochar - Brigham and Women's HospitalSmitha Narayangowda - Houston MethodistBorui Li - Beth Israel Deaconess Medical CenterSong Li - Institute for Advanced Cardiac Care, Medical City Healthcare, Dallas, TXShashank S. Sinha - Inova Design SolutionsGavin W. Hickey - University of Pittsburgh Medical CenterRachna Kataria - University of ProvidenceVan-Khue Ton - Massachusetts General HospitalScott Lundgren - University of Nebraska Medical CenterSandeep Nathan - University of ChicagoEsther Vorovich - Northwestern MedicineShelley Hall - Baylor Scott & White HealthWissam Khalife - University of Texas Medical Branch, Galveston, TXAndrew Schwartzman - Maine Medical CenterOleg Alec Vishnevsky - Thomas Jefferson University HospitalElric Zweck - Heinrich Heine University DüsseldorfJustin Fried - Columbia University Irving Medical CenterMary Jane Farr - The University of Texas Southwestern Medical CenterClaudius Mahr - Institute for Advanced Cardiac Care, Medical City Healthcare, Dallas, TXJoseph Mishkin - Atrium Health Sanger Heart and Vascular Institute (SHVI)I-Hui Chiang - Banner - University Medical Center PhoenixOnyedika Ilonze - Indiana University School of MedicineAlexandra Arias - Instituto Nacional de Cardiologia MexicoJeffrey Marbach - University of PortlandHiram Bezerra - Tampa General HospitalPaavni Sangal - Tufts Medical CenterKarol D. Walec - Tufts Medical CenterPeter Zazzali - Tufts Medical CenterNeil M. Harwani - Tufts Medical CenterVanessa Blumer - Inova Design SolutionsKevin John - Tufts Medical CenterJaime Hernandez-Montfort - Baylor Scott & White HealthJacob Abraham - Providence CollegeDaniel Burkhoff - Cardiovascular Research FoundationManreet K. Kanwar - Allegheny Health NetworkNavin K. Kapur - Tufts Medical Center
- Publication Details
- Journal of cardiac failure
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiology
- Other Identifier
- 991022084531904721