Todd G J, Bregman D, Voorhees A B, Reemtsma K
Arch Surg. 1983 Aug;118(8):963-4. doi: 10.1001/archsurg.1983.01390080065016.
A percutaneous intra-aortic balloon pump (PIABP) was inserted in 112 patients. Successful placement was achieved in 102 patients, 67 of whom survived long enough to have the device removed. Vascular complications related to the PIABP were noted in 15 patients. Reversal of ischemic signs followed PIABP removal in six patients, but nine required femoral artery exploration for thrombectomy, repair of femoral laceration, or repair of false aneurysm. No patient died as a result of PIABP or correction of associated vascular complications, though five of the patients with vascular problems died of cardiac complications. Nine of ten survivors in this group were asymptomatic, and one had persistent paresthesias six months postoperatively. Most clinically significant vascular complications were due to the technique of balloon removal, and several modifications that were effected recently are expected to decrease the incidence of complications requiring surgical intervention.
112例患者植入了经皮主动脉内球囊泵（PIABP）。102例患者成功置入，其中67例存活时间足够长，可移除该装置。15例患者出现了与PIABP相关的血管并发症。6例患者在移除PIABP后缺血体征得到逆转，但9例患者需要进行股动脉探查以进行血栓切除术、修复股动脉撕裂或修复假性动脉瘤。尽管有血管问题的5例患者死于心脏并发症，但没有患者因PIABP或相关血管并发症的纠正而死亡。该组10名幸存者中有9名无症状，1名术后6个月仍有持续性感觉异常。大多数具有临床意义的血管并发症是由于球囊移除技术导致的，最近进行的一些改进有望降低需要手术干预的并发症发生率。
