A NEW TECHNIQUE FOR SHEATHLESS PERCUTANEOUS INTRAAORTIC BALLOON CATHETER INSERTION

被引:22
作者
NASH, IS
LORELL, BH
FISHMAN, RF
BAIM, DS
DONAHUE, C
DIVER, DJ
机构
[1] BETH ISRAEL HOSP,CHARLES A DANA RES INST,HARVARD THORNDIKE LAB,BOSTON,MA 02215
[2] BETH ISRAEL HOSP,DEPT MED,DIV CARDIOVASC,BOSTON,MA 02215
[3] HARVARD UNIV,SCH MED,BOSTON,MA 02115
来源
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1991年 / 23卷 / 01期
关键词
COUNTERPULSATION; PERIPHERAL VASCULAR DISEASE; COMPLICATIONS;
D O I
10.1002/ccd.1810230116
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Intraaortic balloon counterpulsation is helpful for controlling myocardial ischemia and providing hemodynamic support, but its applicability is limited by lower extremity ischemic complications in a significant percentage of patients. We developed a new sheathless technique for percutaneous intraaortic balloon catheter insertion which reduces the effective catheter diameter. A pilot study using this new technique resulted in a 10% rate of limb ischemia, without compromise of balloon function. We conclude that this technique may be useful in reducing the incidence of limb ischemia associated with intraaortic balloon counterpulsation.
引用
收藏
页码:57 / 60
页数:4
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