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 Shahian, D. M. Articles by Maggs, P. R. Search for Related Content PubMed PubMed Citation Articles by Shahian, D. M. Articles by Maggs, P. R.

The Annals of Thoracic Surgery, Vol 36, 644-653, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Intraaortic balloon pump morbidity: a comparative analysis of risk factors between percutaneous and surgical techniques

DM Shahian, WB Neptune, FH Ellis Jr and PR Maggs

We reviewed our concurrent experience with percutaneous insertion versus surgical placement of the intraaortic balloon pump over a two- year period both to compare morbidity and to provide guidelines for the choice of method in particular patient groups and clinical settings. The effects on morbidity of sex, age, emergency placement, coexisting peripheral vascular disease, and duration of counterpulsation were determined. Sex was a highly significant factor, with low complication rates (3/29 or 10.3%) for percutaneous insertion in men and an inordinately high morbidity (12/17 or 70.6%) in women (Fisher exact test: p = 4.611 X 10(-5)). This difference may be due to the smaller size of the femoral artery in women. We conclude that percutaneous insertion is the preferred technique for most men but that direct exposure of the femoral artery should be employed in women. Given the serious morbidity encountered with each technique, there is no justification to broaden the indications for intraaortic balloon counterpulsation.

This article has been cited by other articles:

				T. Suzuki, M. Okabe, M. Handa, F. Yasuda, and Y. Miyake Usefulness of preoperative intraaortic balloon pump therapy during off-pump coronary artery bypass grafting in high-risk patients Ann. Thorac. Surg., June 1, 2004; 77(6): 2056 - 2059. [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]

				A. R. Davies, R. Bellomo, J. S. Raman, G. A. Gutteridge, and B. F. Buxton High lactate predicts the failure of intraaortic balloon pumping after cardiac surgery Ann. Thorac. Surg., May 1, 2001; 71(5): 1415 - 1420. [Abstract] [Full Text] [PDF]

				C. A. Dietl, M. D. Berkheimer, E. L. Woods, C. L. Gilbert, W. F. Pharr, and C. H. Benoit Efficacy and Cost-Effectiveness of Preoperative IABP in Patients with Ejection Fraction of 0.25 or Less Ann. Thorac. Surg., August 1, 1996; 62(2): 401 - 409. [Abstract] [Full Text]

				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]