Sueda T, Matsuura Y, Ishihara H, Hamanaka Y, Kanehiro K, Hayashi S, Maeda Y, Ohno Y
Hiroshima J Med Sci. 1989 Sep;38(3):99-102.
Intra-aortic balloon pumping (IABP) was recently performed during the perioperative period in seven patients in whom balloon insertion was difficult because of vascular complication. Prophylactic measures for the prevention of limb ischemia were taken when the balloon was inserted. These measures included (1) balloon insertion through the femoral artery and continuous infusion of heparin into the femoral artery in three patients, (2) balloon insertion through the left femoral artery and femoro-femoral arterial crossover bypass in two patients, and (3) balloon insertion through the left common iliac artery and axillo-femoral bypass on the same side in two patients. Most patients recovered satisfactorily without any evidence of ischemia of the limbs either clinically or in serum biochemistry examination. One patient died of prolonged cardiac failure.
最近，7例因血管并发症导致球囊插入困难的患者在围手术期接受了主动脉内球囊反搏（IABP）治疗。插入球囊时采取了预防肢体缺血的措施。这些措施包括：（1）3例患者经股动脉插入球囊并持续向股动脉内注入肝素；（2）2例患者经左股动脉插入球囊并进行股-股动脉交叉搭桥术；（3）2例患者经左髂总动脉插入球囊并进行同侧腋-股旁路移植术。大多数患者恢复良好，临床及血清生化检查均未发现肢体缺血迹象。1例患者死于持续性心力衰竭。
