HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Alvarez, J. M. Articles by Brady, P. W. Search for Related Content PubMed PubMed Citation Articles by Alvarez, J. M. Articles by Brady, P. W.

European Journal of Cardio-Thoracic Surgery, Vol 6, 530-535, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Complications from intra-aortic balloon counterpulsation: a review of 303 cardiac surgical patients

JM Alvarez, R Gates, D Rowe and PW Brady
Department of Cardiothoracic Surgery, Royal North Shore Hospital, St. Leonards, Australia.

From January 1980 to January 1990 all patients undergoing cardiac surgery at the Royal North Shore Hospital, Sydney, and requiring intra- aortic balloon counterpulsation (IABCP) were retrospectively reviewed. A total of 99 patients (32.6%) developed complications. Vascular/haemorrhagic complications occurred in 46 patients (15.2%); 79 patients (26%) required platelet transfusions. We have found that only a history of hypertension was predictive of an increased incidence of developing vascular complications. Surgical intervention was required in 17 patients (5.6%), or 47% of the patients who developed a vascular complication. The mortality among patients requiring IABCP was 36.6%. Intra-aortic balloon pump-related deaths occurred in 6 patients (2%). Use of the intra-aortic balloon pump can be a life-saving procedure, but it carries a significant morbidity and mortality rate. This makes it imperative to temper our indications to those patients who demonstrate a need for it.

This article has been cited by other articles:

				H. Parissis, M. Leotsinidis, D. Dougenis, and D. Richens The way the intra-aortic balloon catheter moves within the aorta as a possible mechanism of balloon associated morbidity Interactive CardioVascular and Thoracic Surgery, August 1, 2007; 6(4): 425 - 429. [Abstract] [Full Text] [PDF]

				J. Mand'ak, V. Lonsky, J. Dominik, and P. Zacek Vascular Complications of the Intra-aortic Balloon Counterpulsation Angiology, January 1, 2005; 56(1): 69 - 74. [Abstract] [PDF]

				D. J. Kuter and C. G. Begley Recombinant human thrombopoietin: basic biology and evaluation of clinical studies Blood, November 15, 2002; 100(10): 3457 - 3469. [Abstract] [Full Text] [PDF]

				R. J.F. Baskett, W. A. Ghali, A. Maitland, and G. M. Hirsch The intraaortic balloon pump in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1276 - 1287. [Abstract] [Full Text] [PDF]

				D. J. Kuter Thrombopoietin: Biology and Clinical Applications Oncologist, February 1, 1996; 1(1): 98 - 106. [Abstract] [Full Text] [PDF]