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主动脉内球囊反搏期间的肢体缺血:股-股交叉移植术的指征

Limb ischemia during intra-aortic balloon pumping: indication for femorofemoral crossover graft.

作者信息

Alpert J, Parsonnet V, Goldenkranz R J, Bhaktan E K, Brief D K, Brener B J, Gielchinsky I, Abel R M

出版信息

J Thorac Cardiovasc Surg. 1980 May;79(5):729-34.

PMID:7366238
Abstract

Catheter insertion for intra-aortic balloon pumping (IABP) was successful in 91% of 332 candidates. Fifty-three patients (16.5%) had significant catheter-associated vascular complications, of which lower extremity ischemia with threatened limb loss was the most prevalent (70%). Thirty-six of these patients required an angioplastic repair or vascular grafting. Of the 36, 19 patients with ischemia who needed continued balloon support received femorofemoral (F-F) grafts to restore and maintain adequate limb perfusion. Wound infection occurred in six of the patients but there was no limb loss. F-F grafting is a simple procedure that requires little time and allows one to maintain IABP for prolonged periods without concern for critical obstruction to limb perfusion.

摘要

332名主动脉内球囊反搏(IABP)候选患者中,91%的患者成功插入导管。53例患者(16.5%)出现了与导管相关的严重血管并发症,其中最常见的是有肢体丧失风险的下肢缺血(70%)。这些患者中有36例需要进行血管成形术修复或血管移植。在这36例患者中,19例缺血且需要持续球囊支持的患者接受了股-股(F-F)移植术,以恢复并维持足够的肢体灌注。6例患者发生伤口感染,但无肢体丧失情况。F-F移植术是一种简单的手术,所需时间短,可使患者长时间维持IABP,而无需担心肢体灌注严重受阻。

相似文献

1
Limb ischemia during intra-aortic balloon pumping: indication for femorofemoral crossover graft.主动脉内球囊反搏期间的肢体缺血:股-股交叉移植术的指征
J Thorac Cardiovasc Surg. 1980 May;79(5):729-34.
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Vascular complications associated with the use of intraaortic balloon pumping.
与主动脉内球囊反搏使用相关的血管并发症。
Tex Heart Inst J. 1987 Jun;14(2):178-82.
4
Myonephropathic-metabolic syndrome as a complication of cardiopulmonary bypass.肌病肾病代谢综合征作为体外循环的一种并发症。
Jpn J Surg. 1983 Sep;13(5):431-7. doi: 10.1007/BF02469731.