Vascular complications of the intra-aortic balloon counterpulsation.
From September 1994 to December 2002, 6,274 cardiosurgery operations were performed at the Department of Cardiac Surgery, University Hospital, Hradec Kralove, Czech Republic. Intra-aortic balloon counterpulsation (IABP) was applied in 192 cases (3.1%). From this group of 192 counterpulsated patients 103 were successfully treated (53.6%); 89 counterpulsated patients (46.4%) died from the surgical procedure (30-day mortality rate). In 5 cases (2.6%) from the group of 192, the IABP was introduced before the operation. Ischemic changes of the limb were observed in 11 cases (5.7%). Significant bleeding occurred at the site of puncture in 6 cases (3.1%). Dissection of the femoral and iliac arteries was found in 2 patients (1.0%), perforation of the iliac artery in 1 case (0.5%). In 2 cases (1.0%) the balloon was led into the venous system. In case report No. 1 an introduction of the balloon under a sclerotic plaque of the descending aorta and iliac artery is described. In case report No. 2 a placement of the balloon in the venous bloodstream is reported.
Mand'ák
Jirí
J
Department of Cardiac Surgery, University Hospital and Faculty of Medicine of the Charles University in Hradec Králové, Czech Republic. jiri.mandak@centrum.cz
Lonský
Vladimír
V
Dominik
Jan
J
Zácek
Pavel
P
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000401:mortality / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000401:mortality; D001161:Arteriosclerosis / Q000150:complications / Q000401:mortality; D016063:Blood Loss, Surgical / Q000503:physiopathology; D019917:Blood Vessel Prosthesis Implantation; D002303:Cardiac Output, Low / Q000401:mortality / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000293:injuries / Q000601:surgery; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects* / Q000295:instrumentation; D007431:Intraoperative Complications / Q000209:etiology* / Q000401:mortality / Q000628:therapy; D007511:Ischemia / Q000209:etiology / Q000401:mortality / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D019300:Medical Errors; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000628:therapy; D012086:Reoperation; D015996:Survival Rate; D014652:Vascular Diseases / Q000209:etiology* / Q000401:mortality / Q000601:surgery