| Transthoracic intra-aortic balloon pump in open heart operations: techniques and outcome. | |
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MedLine Citation:
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PMID: 11354571 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: During open heart surgery, direct transthoracic insertion of the intra-aortic balloon pump (IABP) is an alternative to the routine transfemoral insertion especially in the presence of severe peripheral vascular disease. METHODS: Over 19 years (1980-1998), 646 patients were treated with IABP. In 24 of them, the balloon was inserted transthoracic (TIABP) due to failure of transfemoral insertion in 13 or extensive occlusive aorto-iliac disease in 11 cases. RESULTS: Early mortality was 58.3% in patients having TIABP compared to 46.1% in patients with transfemoral IABP insertion (p > 0.2). Of the 24 patients receiving IABP transthoracic, none suffered vascular injury (i.e. perforation or dissection). Complications which could be related to TIABP occurred in 10 patients: 3 balloon ruptures, 1 mediastinal haemorrhage, 3 cerebrovascular accidents, 1 post-operative mediastinitis, and 2 late graft infections. CONCLUSIONS: TIABP is a useful alternative when transfemoral insertion of IABP is not feasible or hazardous because of occluded or severely diseased ilio-femoral arteries. Being a second choice and a more invasive treatment, transthoracic IABP is associated with increased mortality. |
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Authors:
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O E Arafa; O R Geiran; J L Svennevig |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 35 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2001 Feb |
Date Detail:
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Created Date: 2001-05-16 Completed Date: 2001-09-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: Norway |
Other Details:
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Languages: eng Pagination: 40-4 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, Oslo, Norway. osama.arafa@rikshospitalet.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cardiac Output, Low / mortality*, surgery* Cardiovascular Diseases / surgery* Female Humans Intra-Aortic Balloon Pumping* Male Middle Aged Retrospective Studies Survival Rate Thoracic Surgical Procedures* Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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