Zattera Giuseppe, Totaro Pasquale, D'Armini Andrea Maria, Viganò Mario
Division of Cardiac Surgery, IRCCS Foundation San Matteo, Pavia, Italy.
Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):369-70. doi: 10.1510/icvts.2009.207522. Epub 2009 May 15.
Intra aortic balloon pump (IABP) is the mechanical assist device most frequently used in cardiac surgery. Recent demonstration of better outcome following preoperative IABP insertion in high-risk patients has further extended its indication. However, due to an increasing complexity of patients currently referred for cardiac surgery, several patients with potential indication for preoperative and/or postoperative IABP present severe peripheral vascular disease which usually contraindicates IABP insertion. Here we present an alternative technique for IABP insertion in patients with severe peripheral vessel disease.
主动脉内球囊反搏（IABP）是心脏手术中最常用的机械辅助装置。最近有证据表明，高危患者术前插入IABP后预后更佳，这进一步扩大了其适应证。然而，由于目前接受心脏手术的患者日益复杂，一些有术前和/或术后IABP潜在适应证的患者存在严重的外周血管疾病，这通常是IABP插入的禁忌证。在此，我们介绍一种用于严重外周血管疾病患者插入IABP的替代技术。
