[How to Insert an Intraaortic Balloon Pumping( IABP)].

With the advent of the Impella, the options for mechanical circulatory support in cardiogenic shock have expanded. However, the intraaortic balloon pumping (IABP) remains the first-line choice for circulatory support devices. Cardiovascular surgeons must be proficient in the principles, indications, and management of IABP. Generally, IABP insertion is performed by interventional cardiologists under radiofluoroscopic guidance. In cases of difficulty weaning from cardiopulmonary bypass during cardiac surgery, IABP insertion must be performed by cardiovascular surgeons under transesophageal echocardiography (TEE) guidance. This paper focuses on describing a safe method for IABP insertion under TEE guidance, based on the experiences at our institution.