| IABP-Related vascular complications: who is responsible--the patient, the surgeon or the sheath? Part I: sheath-related complications. | |
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MedLine Citation:
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PMID: 18345522 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: An intra-aortic balloon pump (IABP) is frequently used as a mechanical support during the treatment of low cardiac output syndrome. The use of a sheath during IABP treatment can be associated with ischaemic complications in the extremities. The aim of our study was to determine the isolated role of sheaths in the development of vascular complications following IABP catheterisation. METHODS: We evaluated a total of 81 patients who had received an IABP for haemodynamic stability, between January 2003 and October 2007, following cardiovascular surgery. To eliminate surgical-related variables, only patients with IABPs and size 8.5 or 9 French catheters (inserted by experienced cardiovascular surgeons using the percutaneous Seldinger technique) were included in the study. To eliminate patient-related variables, patients with a known risk factor for either thrombosis, embolus or peripheral arterial disease were excluded from the study. RESULTS: The patients were divided into two groups: Group 1 (sheathed catheter group; n=42), Group 2 (sheathless catheter group; n=39). Ischaemic complications were observed in a total of five patients. Four of these patients were from Group 1 and one was from Group 2. CONCLUSION: Sheathed catheterisation was found to increase the risk of vascular complications in patients who underwent IABP application. Therefore sheathless catheterisation is recommended for IABP application. |
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Authors:
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Cevdet Ugur Kocogullari; Mustafa Emmiler; Ercument Ayva; Ahmet Cekirdekct |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Advances in therapy Volume: 25 ISSN: 0741-238X ISO Abbreviation: Adv Ther Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-08-01 Completed Date: 2009-04-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8611864 Medline TA: Adv Ther Country: United States |
Other Details:
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Languages: eng Pagination: 225-30 Citation Subset: T |
Affiliation:
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Department of Cardiovascular Surgery, Medical Faculty, Kocatepe University, Afyon, Turkey. cevdetkoc@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Catheters, Indwelling Equipment Failure Female Humans Intra-Aortic Balloon Pumping / instrumentation* Intraoperative Complications* Male Middle Aged |
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