| Early vascular complications of intraaortic balloon counterpulsation in patients undergoing open heart surgery. | |
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MedLine Citation:
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PMID: 19385464 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: The use of IABP is helpful for haemodynamic stability of patients with low cardiac output and compromised left ventricular function in patients who undergo coronary artery bypass grafting. This procedure is also associated with some vascular complications due to the insertion of IABP. The objective of this research was to study the vascular complications in patients with IABP counterpulsation. We observed the clinical outcome of these patients with special reference to post IABP complications in our research. METHODS: One hundred and six consecutive patients were included in this study from August 2005 to February 2007. Mean age of patients was 58.08 +/- 1.814 years. Seventy nine patients (74.5%) were male and 29 (25.5%) were females. Out of these 106 patients, 101 were operated for CABG, one for angina due to aortic stenosis, two patients had ischemic mitral regurgitation and one patient had post infarct VSD. In 102 (96.2%) patients IABP was inserted percutaneously, one patient received transthoracic and in three patients IABP was inserted with open technique. Thirteen (12.3%) patients received IABP with sheath and 93 (87.7%) received IABP without sheath. RESULTS: Ten patients (9.4%) out of 106 developed vascular complications due to insertion of IABP. Seven patients (6.6%) had the major complications and 3 (2.8%) patients developed minor vascular complications. Mortality due to vascular complications in 106 patients was 8.49% with p < 0.005. CONCLUSION: IABP has remarkable beneficial effects in patients with haemodynamic instability due to myocardial ischemia and low cardiac output syndrome. At the same time IABP is related to significant morbidity and mortality related to vascular complications due to its insertion which include limb ischemia, limb loss and even mortality. |
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Authors:
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Waseem Riaz; Ahmad Shahbaz; Waqas Sami; Jawad Sajid Khan |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of Ayub Medical College, Abbottabad : JAMC Volume: 20 ISSN: 1025-9589 ISO Abbreviation: J Ayub Med Coll Abbottabad Publication Date: 2008 Apr-Jun |
Date Detail:
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Created Date: 2009-04-23 Completed Date: 2009-08-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8910750 Medline TA: J Ayub Med Coll Abbottabad Country: Pakistan |
Other Details:
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Languages: eng Pagination: 80-4 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angina, Unstable / etiology, surgery Aortic Valve Stenosis / complications, surgery Cardiac Output, Low / etiology, surgery* Coronary Artery Bypass / adverse effects* Extremities / blood supply Female Humans Intra-Aortic Balloon Pumping / adverse effects*, methods* Ischemia / etiology Male Middle Aged Mitral Valve Insufficiency / complications, surgery Myocardial Ischemia / etiology, surgery* Pakistan Prospective Studies Risk Factors Ventricular Dysfunction, Left / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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