Document Detail


Neurological abnormalities in the leg(s) after use of intraaortic balloon pump: report of six cases.
MedLine Citation:
PMID:  168835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Six patients from a group of 39 who survived after treatment with the intraaortic balloon pump (lABP) had significant neurological deficits in one or both legs associated with the use of the lABP. The device was used in a group of 89 patients initially for cardiogenic shock but its use has been expanded for patients having the following conditions: preshock; severe congestive heart failure; refractory angina; and for those undergoing open-heart surgery. The six patients who had neurological sequelae had eight lABP insertions into the thoracic aorta through the femoral artery and had neurological abnormalities and/or electromyographic abnormalities in nine lower extremities ranging from a foot drop to almost total paralysis of the lower extremity. The pathophysiology of the neurological deficit is postulated to be an obstruction to blood flow, or thromboemboli, in the femoral artery.
Authors:
J C Honet; W J Wajszczuk; M Rubenfire; A Kantrowitz; J A Raikes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  56     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1975 Aug 
Date Detail:
Created Date:  1975-10-30     Completed Date:  1975-10-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  346-52     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Angina Pectoris / therapy
Aorta, Thoracic
Assisted Circulation / adverse effects*
Electromyography
Female
Femoral Artery / surgery
Foot / innervation
Heart Failure / therapy
Humans
Leg / innervation*
Male
Middle Aged
Neurologic Manifestations
Paralysis / etiology
Peripheral Nervous System Diseases / etiology*
Shock, Cardiogenic / therapy*

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


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