Sep 1, 1977

Results and complications of intraaortic balloon pumping in surgical and medical patients

The American Journal of Cardiology
A A LefemineM Lewis


The intraaortic balloon was attempted for therapy in 94 patients and successfully placed in 86. The balloon catheter could not be passed through the femoral or iliac artery in 12 patients (13 percent) of the group; in 4 of these the balloon was inserted through an aortic arch graft. The medical indications were cardiogenic shock and preinfarction angina. Ten of the 14 patients in the group with shock survived when treated with an aortic balloon without emergency surgery. Indications for balloon pumping in the surgical group included inability to wean the patient from the pump-oxygenator, postoperative shock and prophylactic placement of the balloon for poor ventricular function. Inability to remove a patient from pump-oxygenator support was the most common surgical indication, and 47 percent of patients were long-term survivors. Only 1 of the 17 patients for whom balloon pumping was used prophylactically died. Complications occurred in 17 percent of the entire group of 86 patients although the rate for medical patients with cardiogenic shock was 50 percent. The most common complication was arterial insufficiency requiring removal of the balloon. Four patients had permanent damage to the legs from ischemia, one patient requiring...Continue Reading

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Mentioned in this Paper

Entire Iliac Artery
Wandering Spleen
Amputated Structure (Morphologic Abnormality)
Postoperative Shock
Aortic Arch Structure
Cardiac Surgery Procedures
Long-Term Survivors
Intra-Aortic Balloon Pumping
Angina Pectoris

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