Document Detail

Early detection of the tip position and complication of the intra-aortic balloon pump catheter by perioperative transesophageal echocardiography.
MedLine Citation:
PMID:  8174006     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Intraoperative verification of the precise balloon position of intra-aortic balloon pump(IABP) is necessary and important. We introduced transesophageal echocardiogram (TEE) as one of our routine intraoperative image monitor to accomplish this identification fluently, conveniently and also precisely. METHODS: 56 patients who needed the hemodynamic support when weaning the cardiopulmonary bypass were introduced to receive IABP and the balloon position was verified by TEE. To confirm the accurate location, the position of balloon tip was rechecked with postoperative portable chest x-ray. RESULTS: The balloon tip was attempted to locate in the proximal descending aorta, which was verified via TEE to be successful in 98.1% of patients by postoperative chest x-ray. Five (8.9%) patients failed to pass the balloon catheter at the first time due to high arterial resistance. One iatrogenic aortic dissection (1.8%) and one case in the wrong lumen (1.8%) were detected by TEE. No early death was contributed to IABP insertion. CONCLUSIONS: The application of TEE in the perioperative period helps not only detect IABP complication early but also verify of balloon catheter position quickly. It can replace the conventional role of fluorography.
C T Shih; M W Yang; S T Lai; C Y Lin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Zhonghua yi xue za zhi = Chinese medical journal; Free China ed     Volume:  53     ISSN:  0578-1337     ISO Abbreviation:  Zhonghua Yi Xue Za Zhi (Taipei)     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-06-07     Completed Date:  1994-06-07     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0005327     Medline TA:  Zhonghua Yi Xue Za Zhi (Taipei)     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  131-4     Citation Subset:  IM    
Department of Surgery, National Yang-Ming Medical College, Taipei, Taiwan, R.O.C.
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MeSH Terms
Catheters, Indwelling / adverse effects*
Echocardiography, Transesophageal*
Intra-Aortic Balloon Pumping / adverse effects*,  instrumentation
Intraoperative Complications / ultrasonography*
Middle Aged
Monitoring, Intraoperative
Postoperative Care
Postoperative Complications / ultrasonography*

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

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