Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump.
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.
Lin
Peter H
PH
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA. peterlin1000@aol.com
Bush
Ruth L
RL
Conklin
Brian S
BS
Chaikof
Elliot L
EL
Lumsden
Alan B
AB
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