Koyanagi T, Endo M, Siikawa A, Akiyama K, Koyanagi H
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
Nihon Geka Gakkai Zasshi. 1990 Apr;91(4):529-32.
Femoral artery pseudoaneurysm is one of multiple vascular complications with intra aortic balloon pumping (IABP). In a series of 815 cases, the incidence of pseudoaneurysm formation was 0.61 percent. Six patients with this complication who underwent successful surgical repair were reviewed. Three cases in our series were obviously due to the unsuitable technique of balloon removal. Especially a patient who underwent IABP insertion after exposure of the femoral artery should undergo open removal of the balloon with reconstruction of the femoral artery. In conclusion, femoral artery pseudoaneurysms are expected to diminish by the appropriate technique of balloon removal.
股动脉假性动脉瘤是主动脉内球囊反搏（IABP）多种血管并发症之一。在815例患者的系列研究中，假性动脉瘤形成的发生率为0.61%。回顾了6例接受成功手术修复的该并发症患者。我们系列中的3例明显是由于球囊移除技术不当所致。特别是在股动脉暴露后接受IABP置入的患者，应进行球囊开放移除并重建股动脉。总之，通过适当的球囊移除技术有望减少股动脉假性动脉瘤的发生。
