A technique of transthoracic intraaortic balloon pump insertion and a
clinical experience with 14 patients is reported. The technique of tra
nsthoracic intraaortic balloon pump insertion can be done in a rapid a
nd atraumatic fashion. A short prosthetic graft is used, and intraaort
ic balloon pump removal does not require resternotomy. The technique i
s a safe alternative in postcardiotomy failure patients with inadequat
e peripheral arterial access.