Document Detail


Is percutaneous insertion of the intra-aortic balloon pump through the femoral artery the safest technique?
MedLine Citation:
PMID:  3959259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between Jan. 1, 1979, and Sept. 30, 1983, 423 intra-aortic balloon pumps (IABPs) were successfully inserted into 400 patients; IABPs could not be inserted in 36 patients (success rate 91.7%). Before 1980 all balloons were inserted surgically through a graft and by 1983 virtually all IABPs were inserted by percutaneous techniques. Infectious complications occurred in 12.3% of IABPs inserted by the open technique and 1.5% of IABPs inserted percutaneously (p less than 0.001). Major ischemic complications were not significantly different between the two groups when all of the patients were analyzed together (p greater than 0.5) and when only the surviving patients were analyzed (p greater than 0.75). However, ischemic complications occurred in 32.9% of women in the study and only 19.7% of the men (p less than 0.005). The percutaneous insertion of the IABP is recommended as the technique of choice because of the ease of insertion, lack of infectious complications, and similar rate of major ischemic complications when compared with IABPs inserted by open surgical means through a graft anastomosed to the common femoral artery.
Authors:
P E Collier; G A Liebler; S B Park; J A Burkholder; T D Maher; G J Magovern
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  3     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-05-02     Completed Date:  1986-05-02     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  629-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Coronary Disease / complications,  therapy
Heart Aneurysm / complications,  therapy
Heart Valve Diseases / mortality,  therapy
Humans
Intra-Aortic Balloon Pumping* / methods
Ischemia / etiology
Postoperative Complications

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


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