Perler B A, McCabe C J, Abbott W M, Buckley M J
Arch Surg. 1983 Aug;118(8):957-62. doi: 10.1001/archsurg.1983.01390080059015.
Although the intra-aortic balloon pump (IABP) saves many lives, complication rates as high as 36% have been reported. Many of the complications require surgical attention. In 794 patients of the Massachusetts General Hospital in Boston, an IABP was inserted into either the femoral or iliac artery between Nov 1, 1968, and June 30, 1981. Eighty-seven major vascular complications occurred in 70 (8.8%) of them. Of those 70 patients, 95% denied previous symptoms of vascular disease, and 78% had had normal pulses before insertion. The two most common complications were limb ischemia (n = 36) and arterial trauma (n = 20). Other complications included sepsis (n = 14), wound problems (n = 10), and hemorrhage (n = 7). No limbs were lost. Analysis of each group of complications allowed specific conclusions to be drawn concerning prevention, early diagnosis, and the most appropriate treatment.
尽管主动脉内球囊反搏泵（IABP）挽救了许多生命，但据报道其并发症发生率高达36%。许多并发症需要外科处理。在波士顿麻省总医院的794例患者中，于1968年11月1日至1981年6月30日期间在股动脉或髂动脉置入了IABP。其中70例（8.8%）发生了87例严重血管并发症。在这70例患者中，95%否认既往有血管疾病症状，78%在置入前脉搏正常。最常见的两种并发症是肢体缺血（n = 36）和动脉损伤（n = 20）。其他并发症包括败血症（n = 14）、伤口问题（n = 10）和出血（n = 7）。无一例肢体丢失。对每组并发症进行分析后得出了关于预防、早期诊断及最合适治疗的具体结论。
