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  • Title: Subclavian artery approach for insertion of intra-aortic balloon.
    Author: Mayer JH.
    Journal: J Thorac Cardiovasc Surg; 1978 Jul; 76(1):61-3. PubMed ID: 661368.
    Abstract:
    Subperiosteal clavicular resection for access to the subclavian artery is described. In those patients requiring intra-aortic balloon placement in the nonsurgical setting, such an approach provides a reasonably benign alternative when aortoiliac atherosclerosis prevents the usual retrograde femoral placement. Little morbidity or functional compromise is associated with clavicular wedge resections, and the anatomic availability of a large artery without the need for major surgical maneuvers in these gravely ill patients is a distinct advantage.
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