Document Detail


Complications of ascending aortic intraaortic balloon pump cannulation.
MedLine Citation:
PMID:  4037916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Choice of a route of cannulation for intraaortic balloon counterpulsation during cardiopulmonary bypass is related to accessibility. In those patients in whom it is impossible to pass the intraaortic balloon pump (IABP) into the common femoral artery, ascending aortic cannulation is a rapid and direct method of insertion. Eight patients are described in whom ascending aortic IABP cannulation was undertaken to enable weaning from cardiopulmonary bypass after cardiac surgical procedures. The following problems were encountered: graft infection, aberrant cannulation of the left subclavian artery, left coronary artery embolism, and inability to close the sternum due to mechanical tamponade. A technique is described for insertion of the IABP using a polytetrafluoroethylene (Impra) graft and closed-chest decannulation. Although considerable morbidity and mortality are associated with ascending aortic cannulation, it is simple, fast, and effective, and should be considered for all patients requiring postoperative IABP support in whom peripheral vascular disease makes access difficult.
Authors:
W G Meldrum-Hanna; C W Deal; D E Ross
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  40     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-10-01     Completed Date:  1985-10-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  241-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta*
Assisted Circulation / adverse effects*
Blood Vessel Prosthesis*
Catheterization / adverse effects*
Coronary Vessels
Embolism / etiology
Female
Humans
Intra-Aortic Balloon Pumping / adverse effects*,  methods
Intraoperative Complications / etiology
Male
Middle Aged
Polytetrafluoroethylene
Postoperative Complications / etiology
Sternum / surgery
Subclavian Artery / injuries
Surgical Wound Infection / etiology
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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