Fig. 1. Patient transferred to ICU with IABP inserted surgically through left axillary artery approached at deltoido-pectoralis groove (a). Correct position of IABP checked at chest Rx (b): the proximal marker of the balloon has to be considered instead of the distal marker as with standard IABP inserted through femoral artery. From: Intra aortic balloon pump insertion through left axillary artery in patients with severe peripheral arterial disease Interact CardioVasc Thorac Surg. 2009;9(2):369-370. doi:10.1510/icvts.2009.207522 Interact CardioVasc Thorac Surg | Published by European Association for Cardio-Thoracic Surgery. All rights reserved. 1