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The Annals of Thoracic Surgery, Vol 24, 550-559, Copyright © 1977 by The Society of Thoracic Surgeons
CB Beckman, AS Geha, GL Hammond and AE Baue
During the forty-month period ending July, 1976, intraaortic balloon
counterpulsation was used as an adjunct to medical or surgical therapy in
273 patients. Thirty-seven developed complications. Limb ischemia occurred
in 16; it resolved in 12, resulted in gangrene of the toes in 1 and leg
gangrene in 2, and was the casue of death in 1 patient. Aortic dissection
was confirmed in 7 patients and strongly suspected in another 4. Eight of
the 11 patients with dissection underwent cardiac procedures with
heparinization at two days to three months after balloon insertion with no
untoward effects. Septicemia developed in 2 patients, 1 of whom died of
cardiogenic shock. Localized groin sepsis occurred in 8 patients, 2 of whom
required removal of infected Dacron graft material. Awareness of the
complications of balloon insertion, proper attention to details of balloon
management at the time of insertion and removal, and continuous monitoring
through a central- lumen balloon should decrease the incidence of
complications.
ARTICLES
Results and complications of intraaortic balloon counterpulsation
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