Careaga-Reyna G, Jiménez-Hernández A, Sánchez-Ramírez O, Argüero-Sánchez R

Language: Spanish
References: 16
Page: 236-240
PDF size: 39.46 Kb.

ABSTRACT

Introduction: Intraaortic balloon pumping is widely used as a mechanical circulatory support device. In this report, we analyze the morbidity of the insertion technique of the intraaortic balloon. Material and method: From January 1, 1992 to December 31, 1999 at the Cardiology Hospital of the National Medical Center Siglo XXI, Mexico City, the intraaortic balloon pumping system was installed in 484 patients percutaneously with (25%) or without (19%) introducer devices or direct puncture of the femoral artery with (5%) or without (51%) introducer device. Results: The most frequent complication was a decrease of arterial flow with distal ischemia of the pelvic member involved. Twenty-five patients with major vascular complications required surgical management (5.1%). These complications occurred more frequently in direct puncture than in percutaneous insertion (p = 0.09), with little difference related to sheathed or unsheathed insertion (p = 0.047). Two patients required amputation of the pelvic limb due to irreversible ischemia (one sheathed and one unsheathed). Discussion: It is concluded that percutaneous insertion of intraaortic balloon pumping is safe with low morbidity.

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