title: Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump.
abstract: Acute limb ischemia is a common, recognized complication of intra-aortic balloon pump (IABP) placement in patients with failing myocardium, and an operative femorofemoral bypass graft is often necessary in IABP-dependent patients as a means of maintaining the lower-limb perfusion. In this report, we present a minimally invasive endovascular technique for creating a percutaneous temporary femorofemoral bypass graft at bedside in patients with IABP-induced limb ischemia. This temporary bypass grafting technique may obviate a potential graft infection or wound complications associated with a formal femorofemoral bypass graft.
authors.affiliation: Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA. peterlin1000@aol.com
authors.forename: Peter H
authors.initials: PH
authors.lastname: Lin
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Bush
authors.forename: Brian S
authors.initials: BS
authors.lastname: Conklin
authors.forename: Elliot L
authors.initials: EL
authors.lastname: Chaikof
authors.forename: Alan B
authors.initials: AB
authors.lastname: Lumsden
mesh_terms: D000208:Acute Disease; D005121:Extremities / Q000098:blood supply* / Q000601:surgery*; D005263:Femoral Artery / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000209:etiology; D014656:Vascular Surgical Procedures