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Long intraaortic balloon treatment time leads to more vascular complications.
Journal article

Long intraaortic balloon treatment time leads to more vascular complications.

  • 2007-10-04
Published in:
  • Asian cardiovascular & thoracic annals. - 2007
Adult
Age Factors
Aged
Aged, 80 and over
Cardiopulmonary Bypass
Coronary Disease
Extremities
Female
Hospital Mortality
Humans
Intra-Aortic Balloon Pumping
Ischemia
Male
Middle Aged
Myocardial Infarction
Odds Ratio
Postoperative Care
Preoperative Care
Retrospective Studies
Risk Assessment
Risk Factors
Shock, Cardiogenic
Stroke Volume
Time Factors
Treatment Outcome
Ventricular Dysfunction, Left
English Intraaortic balloon counterpulsation is an established and efficient therapy. Limb ischemia is the most common complication. The impact of treatment duration on balloon-related complications was analyzed retrospectively in 135 patients who underwent balloon counterpulsation between 1998 and 2004. Thirty high-risk coronary patients required preoperative intraaortic balloon therapy, 41 were in preoperative cardiogenic shock, and 64 needed support for difficulties in weaning from cardiopulmonary bypass. No balloon-related mortality occurred. The overall balloon-related complication rate was 20/135 (14.8%); 18 had limb ischemia, of whom 6 (4.4%) required vascular interventions. Intraaortic balloon treatment time was significantly longer in patients who developed limb ischemia (99.8 +/- 54.1 h) compared to those who did not (34.4 +/- 30.4 h). Preoperative therapy had short treatment times and few complications. Intraaortic balloon pumping provides effective circulatory support with a low complication rate. A clear relationship was established between duration of treatment and balloon-related complications. Independent risk factors for balloon-related complications were long treatment time, acute myocardial infarction, age over 65 years, and ejection fraction less than 0.30.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/252860
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