Anaphylactic shock: The advantages of intra aortic balloon counter pulsation for the treatment of heart failure

Yeguiayan, Jean-Michel; Ravisy, Jacques; Lenfant, F.; M, Pillet; Freysz, M.

doi:10.1016/j.resuscitation.2006.07.011

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“…In anaphylaxis, the increased airway and intrathoracic pressure secondary to bronchospasm leads to a drop in coronary perfusion. Hence, Yeguiayan et al 7 postulated in their case report that the use of IABP in these circumstances may produce additional benefit by augmenting the diastolic pressure and thereby improving coronary perfusion.…”

Section: Discussionmentioning

confidence: 99%

Use of IABP in contrast media-induced anaphylactic shock: the ultimate lifesaver

Alam

Anantharaman

2013

BMJ Case Reports

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SUMMARYAnaphylactic reaction to contrast media during selective coronary angiography is a rare occurrence. It can be occasionally resistant to medical treatment leading to cardiovascular collapse and death. The use of intra-aortic balloon pump (IABP) counter-pulsation when the supportive medical treatment fails during anaphylactic shock is not well documented in the literature. We report a case of a severe contrast media-induced anaphylactic shock which failed to respond to the supportive medical management and the timely insertion of IABP for further circulatory support that prevented death in a patient who had an elective diagnostic coronary angiography. The clinical diagnosis of anaphylaxis was challenging at the onset of shock as the typical rash developed after a few minutes. BACKGROUND

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Section: Discussionmentioning

confidence: 99%