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Title

Long intraaortic balloon treatment time leads to more vascular complications

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Published in Asian Cardiovascular & Thoracic Annals. 2007, vol. 15, no. 5, p. 408-12
Abstract Intraaortic balloon counterpulsation is an established and efficient therapy. Limb ischemia is the most common complication. The impact of treatment duration on balloon-related complications was analyzed retrospectively in 135 patients who underwent balloon counterpulsation between 1998 and 2004. Thirty high-risk coronary patients required preoperative intraaortic balloon therapy, 41 were in preoperative cardiogenic shock, and 64 needed support for difficulties in weaning from cardiopulmonary bypass. No balloon-related mortality occurred. The overall balloon-related complication rate was 20/135 (14.8%); 18 had limb ischemia, of whom 6 (4.4%) required vascular interventions. Intraaortic balloon treatment time was significantly longer in patients who developed limb ischemia (99.8 +/- 54.1 h) compared to those who did not (34.4 +/- 30.4 h). Preoperative therapy had short treatment times and few complications. Intraaortic balloon pumping provides effective circulatory support with a low complication rate. A clear relationship was established between duration of treatment and balloon-related complications. Independent risk factors for balloon-related complications were long treatment time, acute myocardial infarction, age over 65 years, and ejection fraction less than 0.30.
Keywords AdultAge FactorsAgedAged, 80 and overCardiopulmonary Bypass/adverse effectsCoronary Disease/mortality/physiopathology/surgery/therapyExtremities/blood supplyFemaleHospital MortalityHumansIntra-Aortic Balloon Pumping/adverse effectsIschemia/etiology/mortality/physiopathology/surgeryMaleMiddle AgedMyocardial Infarction/complicationsOdds RatioPostoperative CarePreoperative CareRetrospective StudiesRisk AssessmentRisk FactorsShock, Cardiogenic/mortality/physiopathology/surgery/therapyStroke VolumeTime FactorsTreatment OutcomeVentricular Dysfunction, Left/complications
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PMID: 17911069
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Article (Published version) (195 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://aan.sagepub.com/content/15/5/408.long
Structures
Research groups Chirurgie cardio-vasculaire (105)
Dysfonctions cardio-pulmonaires et cérébrales (278)
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CHRISTENSON, Jan et al. Long intraaortic balloon treatment time leads to more vascular complications. In: Asian Cardiovascular & Thoracic Annals, 2007, vol. 15, n° 5, p. 408-12. https://archive-ouverte.unige.ch/unige:34774

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Deposited on : 2014-03-13

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