Aortic dissection complicating intraaortic balloon pumping: percutaneous management of delayed spinal cord ischemia.
Iatrogenic acute type B dissection is a rare complication of intraaortic balloon pumping. Delayed visceral and spinal cord malperfusion can occur for distal progression of the dissection or relative hypotension. Cerebrospinal fluid drainage and percutaneous balloon fenestration provide a safe and effective method for managing ischemic complications.
Trabattoni
Piero
P
Department of Cardiovascular Sciences, University of Milan, Milan, Italy.
Zoli
Stefano
S
Dainese
Luca
L
Spirito
Rita
R
Biglioli
Paolo
P
Agrifoglio
Marco
M
D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D000800:Angioplasty, Balloon / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy; D012770:Shock, Cardiogenic / Q000628:therapy; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed