Abstract
To the Editor: Rastan et al1 provide valuable insight into the possible implications of the intra-aortic balloon pump position; however, they fail to address a number of key issues. First, they assume that the tip of the balloon should be just distal to the left subclavian artery. Although this is standard teaching, positioning the balloon halfway around a corner in an early take off subclavian vessel may potentially result in intimal damage, because the balloon straightens out as it expands, impacting …
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