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Ann Thorac Surg 1998;65:1158-1160
© 1998 The Society of Thoracic Surgeons

How to Do It

Prostaglandin E1 From the Tip of an Intraaortic Balloon Catheter for Lower Limb Ischemia

Toshihide Nakano, MDa, Ryuji Tominaga, MDa, Kiminori Shiraishi, CEa, Hisataka Yasui, MDa

a Division of Cardiovascular Surgery, Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Accepted for publication October 14, 1997.

Address reprint requests to Dr Tominaga, Division of Cardiovascular Surgery, Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku Fukuoka 812-82, Japan
e-mail: (tnakano{at}heart.med.kyushu-u.ac.jp)

A method to treat lower limb ischemia associated with the insertion of an intraaortic balloon catheter is herein reported. A low dose of prostaglandin E1 was administered into the descending aorta continuously from the tip of the intraaortic balloon catheter. Immediately after the administration of prostaglandin E1 in patients whose lower limbs were ischemic due to obstruction with the catheter, the peripheral circulation of the ischemic limbs recovered with minimal changes in the systemic arterial blood pressure. This method is simple and noninvasive and was found to induce a satisfactory effect.






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