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

This Article 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 Alpert, J. Articles by Abel, R. M. Search for Related Content PubMed PubMed Citation Articles by Alpert, J. Articles by Abel, R. M.

The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 729-734, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Limb ischemia during intra-aortic balloon pumping: indication for femorofemoral crossover graft

J Alpert, V Parsonnet, RJ Goldenkranz, EK Bhaktan, DK Brief, BJ Brener, I Gielchinsky and RM Abel

Catheter insertion for intra-aortic balloon pumping (IABP) was successful in 91% of 332 candidates. Fifty-three patients (16.5%) had significant catheter-associated vascular complications, of which lower extremity ischemia with threatened limb loss was the most prevalent (70%). Thirty-six of these patients required an angioplastic repair or vascular grafting. Of the 36, 19 patients with ischemia who needed continued balloon support received femorofemoral (F-F) grafts to restore and maintain adequate limb perfusion. Wound infection occurred in six of the patients but there was no limb loss. F-F grafting is a simple procedure that requires little time and allows one to maintain IABP for prolonged periods without concern for critical obstruction to limb perfusion.

This article has been cited by other articles:

				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]

				G. Lutter, B. Saurbier, E. Nitzsche, F. Kletzin, J. Martin, C. Schlensak, C. Lutz, and F. Beyersdorf Transmyocardial laser revascularization (TMLR) in patients with unstable angina and low ejection fraction Eur J Cardiothorac Surg, January 1, 1998; 13(1): 21 - 26. [Abstract] [Full Text] [PDF]

				P. M. Sanfelippo, N. H. Baker, H. G. Ewy, P. J. Moore, J. W. Thomas, G. J. Brahos, and R. F. McVicker Management of Vascular Complications Associated With Use of Intraaortic Balloon Counterpulsation Vascular and Endovascular Surgery, November 1, 1987; 21(6): 377 - 380. [Abstract] [PDF]

				R. L. Gold and J. C. Rios Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures J Intensive Care Med, January 1, 1987; 2(1): 49 - 60. [Abstract] [PDF]

				Y. Ohkita, S. Miki, K. Kusuhara, Y. Ueda, T. Tahata, M. Komeda, and T. Tamura Reoperation after Aortic Valvuloplasty for Aortic Regurgitation Associated with Ventricular Septal Defect Ann. Thorac. Surg., May 1, 1986; 41(5): 489 - 491. [Abstract] [PDF]

				P. M. Sanfelippo, N. H. Baker, H. G. Ewy, P. J. Moore, J. W. Thomas, G. J. Brahos, and R. F. McVicker Experience with Intraaortic Balloon Counterpulsation Ann. Thorac. Surg., January 1, 1986; 41(1): 36 - 41. [Abstract] [PDF]

				D. M. Shahian, W. B. Neptune, F. H. Ellis Jr., and P. R. Maggs Intraaortic Balloon Pump Morbidity: A Comparative Analysis of Risk Factors Between Percutaneous and Surgical Techniques Ann. Thorac. Surg., December 1, 1983; 36(6): 644 - 653. [Abstract] [PDF]

				D. G. Pennington, M. Swartz, J. E. Codd, J. P. Merjavy, and G. C. Kaiser Intraaortic Balloon Pumping in Cardiac Surgical Patients: A Nine-Year Experience Ann. Thorac. Surg., August 1, 1983; 36(2): 125 - 131. [Abstract] [PDF]

				G. L. Hines, P. Chang, and M. Mohtashemi Groin Infections after Intra-aortic Balloon Counterpulsation Vascular and Endovascular Surgery, September 1, 1981; 15(5): 313 - 317. [PDF]