title: Risks associated with intraaortic balloon pumping in patients with and without diabetes mellitus.
abstract: Between 1967 and 1982, intraaortic balloon pumping (IABP) was attempted in 733 patients. Of these, 132 were diabetic: 51 patients were managed with diet alone, 46 patients took oral hypoglycemic agents and 35 patients required insulin. Vascular complications associated with IABP occurred in 34% of the insulin-dependent diabetics, in 18% of other diabetics and in 14% of nondiabetic patients. Infectious complications were 37, 22 and 25%, respectively. Seventy-five diabetic patients (57%) were discharged alive from the hospital after balloon pumping, essentially the same proportion as among nondiabetic patients (58%). It is concluded that although diabetics incur a higher complication rate, IABP is not contraindicated.
authors.affiliation: Sinai Hospital of Detroit, Michigan 48235.
authors.forename: T
authors.initials: T
authors.lastname: Wasfie
authors.forename: P S
authors.initials: PS
authors.lastname: Freed
authors.forename: M
authors.initials: M
authors.lastname: Rubenfire
authors.forename: W
authors.initials: W
authors.lastname: Wajszczuk
authors.forename: P
authors.initials: P
authors.lastname: Reimann
authors.forename: W
authors.initials: W
authors.lastname: Brozyna
authors.forename: M A
authors.initials: MA
authors.lastname: Schork
authors.forename: J
authors.initials: J
authors.lastname: Kozlowski
authors.forename: A
authors.initials: A
authors.lastname: Kantrowitz
mesh_terms: D000328:Adult; D000368:Aged; D048909:Diabetes Complications; D003920:Diabetes Mellitus; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000401:mortality / Q000628:therapy*; D006801:Humans; D007239:Infections / Q000209:etiology; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014652:Vascular Diseases / Q000209:etiology