Details

Autor(en) / Beteiligte

• ARAFA, Osama E
• GEIRAN, Odd R
• SVENNEVIG, Jan L

Titel

Transthoracic Intra-aortic Balloon Pump in Open Heart Operations: Techniques and Outcome

Ist Teil von

• Scandinavian cardiovascular journal : SCJ, 2001, Vol.35 (1), p.40-44

Ort / Verlag

Copenhagen: Informa UK Ltd

Erscheinungsjahr

2001

Quelle

Taylor & Francis

Beschreibungen/Notizen

• Objective - During open heart surgery, direct transthoracic insertion of the intra-aortic balloon pump (IABP) is an alternative to the routine transfemoral insertion especially in the presence of severe peripheral vascular disease. Methods - Over 19 years (1980-1998), 646 patients were treated with IABP. In 24 of them, the balloon was inserted transthoracic (TIABP) due to failure of transfemoral insertion in 13 or extensive occlusive aorto-iliac disease in 11 cases. Results - Early mortality was 58.3% in patients having TIABP compared to 46.1% in patients with transfemoral IABP insertion (p > 0.2). Of the 24 patients receiving IABP transthoracic, none suffered vascular injury (i.e. perforation or dissection). Complications which could be related to TIABP occurred in 10 patients: 3 balloon ruptures, 1 mediastinal haemorrhage, 3 cerebrovascular accidents, 1 post-operative mediastinitis, and 2 late graft infections. Conclusions - TIABP is a useful alternative when transfemoral insertion of IABP is not feasible or hazardous because of occluded or severely diseased ilio-femoral arteries. Being a second choice and a more invasive treatment, transthoracic IABP is associated with increased mortality.