en
Scientific article
English

Long intraaortic balloon treatment time leads to more vascular complications

Published inAsian cardiovascular and thoracic annals, vol. 15, no. 5, p. 408-412
Publication date2007
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
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cardiopulmonary Bypass/adverse effects
  • Coronary Disease/mortality/physiopathology/surgery/therapy
  • Extremities/blood supply
  • Female
  • Hospital Mortality
  • Humans
  • Intra-Aortic Balloon Pumping/adverse effects
  • Ischemia/etiology/mortality/physiopathology/surgery
  • Male
  • Middle Aged
  • Myocardial Infarction/complications
  • Odds Ratio
  • Postoperative Care
  • Preoperative Care
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Shock, Cardiogenic/mortality/physiopathology/surgery/therapy
  • Stroke Volume
  • Time Factors
  • Treatment Outcome
  • Ventricular Dysfunction, Left/complications
Citation (ISO format)
CHRISTENSON, Jan et al. Long intraaortic balloon treatment time leads to more vascular complications. In: Asian cardiovascular and thoracic annals, 2007, vol. 15, n° 5, p. 408–412. doi: 10.1177/021849230701500510
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0218-4923
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