Document Detail


Vascular complications as a result of intra-aortic balloon pumping.
MedLine Citation:
PMID:  315743     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intra-aortic balloon conterpulsation (IABP) was used to assist 109 patients with extensive myocardial infarcts, unstable angina, cardiogenic shock, and unstable cardiodynamic states after cardiopulmonary bypass over a six year period. Severe vascular occlusion occurred in three patients (3%) which required an above the knee amputation. Each patient had a long history of smoking. Obesity, atherosclerotic disease of the femoral vessels, and extensive coronary artery disease were additional contributing factors. Two of the three patients survived, but both survivors had extensive postoperative myocardial infarctions. A low flow cardiac state and the presence of atherosclerotic changes in the legs must be precipitating factors for the vascular complications. Several possible methods to minimize complications of this nature include 1) angiographic examination of the lower aorta and femoral arteries at the time of cardiac catheterization, 2) frequent monitoring with ultrasound equipment, and 3) use of anticoagulation during and after the period of counterpulsation.
Authors:
D J Sutorius; J A Majeski; S F Miller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  45     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1980-01-28     Completed Date:  1980-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  512-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Amputation
Assisted Circulation / adverse effects*
Blood Vessel Prosthesis
Coronary Artery Bypass
Femoral Artery / surgery
Heart Diseases / complications,  therapy
Humans
Intra-Aortic Balloon Pumping / adverse effects*
Leg / blood supply*
Male
Middle Aged
Myocardial Infarction / therapy
Postoperative Complications / therapy
Shock, Cardiogenic / therapy
Thrombophlebitis / etiology*,  surgery

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


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