COMPLICATIONS FROM INTRAAORTIC BALLOON COUNTERPULSATION - A REVIEW OF 303 CARDIAC SURGICAL PATIENTS

被引：28

作者：

ALVAREZ, JM

GATES, R

ROWE, D

BRADY, PW

机构：

[1] Department of Cardiothoracic Surgery, The Royal North Shore Hospital, St. Leonards

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1992年 / 6卷 / 10期

关键词：

INTRAAORTIC BALLOON COUNTERPULSATION (IABCP); COMPLICATIONS;

D O I：

10.1016/1010-7940(92)90003-G

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

From January 1980 to January 1990 all patients undergoing cardiac surgery at the Royal North Shore Hospital, Sydney, and requiring intra-aortic balloon counterpulsation (IABCP) were retrospectively reviewed. A total of 99 patients (32.6%) developed complications. Vascular/haemorrhagic complications occurred in 46 patients (15.2%); 79 patients (26%) required platelet transfusions. We have found that only a history of hypertension was predictive of an increased incidence of developing vascular complications. Surgical intervention was required in 17 patients (5.6%), or 47% of the patients who developed a vascular complication. The mortality among patients requiring IABCP was 36.6%. Intra-aortic balloon pump-related deaths occurred in 6 patients (2%). Use of the intra-aortic balloon pump can be a life-saving procedure, but it carries a significant morbidity and mortality rate. This makes it imperative to temper our indications to those patients who demonstrate a need for it.

引用

页码：530 / 535

页数：6

共 39 条

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