Prevention of Limb Ischemia in Surgical Patients by Intra-aortic Balloon Pumping

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Title ( eng )
Prevention of Limb Ischemia in Surgical Patients by Intra-aortic Balloon Pumping
Creator
Matsuura Yuichiro
Ishihara Hiroshi
Hamanaka Yoshiharu
Kanehiro Keiichi
Hayashi Saiho
Maeda Yoshiyuki
Ohno Yoshio
Source Title
Hiroshima Journal of Medical Sciences
Volume 38
Issue 3
Start Page 99
End Page 102
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
Intra-aortic balloon pumping (IABP) was recently performed during the perioperative period in seven patients in whom balloon insertion was difficult because of vascular complication. Prophylactic measures for the prevention of limb ischemia were taken when the balloon was inserted. These measures included (1) balloon insertion through the femoral artery and continuous infusion of heparin into the femoral artery in three patients, (2) balloon insertion through the left femoral artery and femoro-femoral arterial crossover bypass in two patients, and (3) balloon insertion through the left common iliac artery and axillo-femoral bypass on the same side in two patients. Most patients recovered satisfactorily without any evidence of ischemia of the limbs either clinically or in serum biochemistry examination. One patient died of prolonged cardiac failure.
Keywords
Intra-aortic balloon pumping
Arteriosclerosis
Limb salvage
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 1989-09
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 2584062