Management of lower limb ischaemia associated with the use of intra-aortic balloon pumps during cardiac surgery.
Eur J Vasc Endovasc Surg
; 10(3): 327-9, 1995 Oct.
Article
in En
| MEDLINE
| ID: mdl-7552533
ABSTRACT
OBJECTIVE:
To audit the lower limb vascular complications associated with the use of an intraaortic balloon pump (IABP) on a cardiothoracic unit over a 12 month period.DESIGN:
Retrospective analysis.SETTING:
Regional university cardiothoracic unit. PATIENTS Fifty four IABPs inserted into 51 patients.RESULTS:
Seventeen patients (33%) died from cardiogenic shock in the immediate postoperative period. Of the remaining 34 patients (37 IABPs), lower limb vascular complications occurred in nine patients (26%) who underwent 11 IABP insertions (30%). Vascular complications included groin haematomas (n = 2 insertions), compartment syndrome (n = 2 insertions), femoral artery trauma (n = 7 insertions).CONCLUSIONS:
Prompt management by peripheral vascular surgeons resulted in limb salvage in 10 legs and only one death from a pulmonary embolus.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cardiac Surgical Procedures
/
Intra-Aortic Balloon Pumping
/
Intraoperative Care
/
Intraoperative Complications
/
Ischemia
/
Leg
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Eur J Vasc Endovasc Surg
Journal subject:
ANGIOLOGIA
Year:
1995
Document type:
Article
Affiliation country:
United kingdom