Girgis Kyrillos, Aroke Desmond, Retcho Danielle, Gonzalez Garcia Grettel, Dekowski Sammir S, Beshai Rafail, Celenza-Salvatore Jessica, Ali Fazal
Internal Medicine, Newark Beth Israel Medical Center, Newark, USA.
Cardiovascular Disease, Virtua Health, Camden, USA.
Cureus. 2024 May 7;16(5):e59789. doi: 10.7759/cureus.59789. eCollection 2024 May.
Intra-aortic balloon pumps (IABPs) are used to assist with left ventricular (LV) unloading in patients with cardiogenic shock (CS). There are different mechanical devices that can be used in CS, of which the IABP represents the simplest, the easiest to insert and remove, and the most cost-effective. Compared to traditional femoral IABPs, axillary IABPs allow patients to remain ambulatory. This is especially beneficial in patients awaiting heart transplants. Our case presents a patient with CS, where axillary IABP was used to unload the LV. However, our patient developed ventricular arrhythmia secondary to IABP migration to the LV.
主动脉内球囊反搏泵(IABP)用于协助心源性休克(CS)患者减轻左心室(LV)负荷。在CS患者中可使用不同的机械装置,其中IABP是最简单、最易于插入和移除且最具成本效益的。与传统的股动脉IABP相比,腋动脉IABP可让患者保持活动能力。这对等待心脏移植的患者尤其有益。我们的病例介绍了一名CS患者,使用腋动脉IABP来减轻左心室负荷。然而,我们的患者因IABP迁移至左心室而出现室性心律失常。