Complications Related to Intra-aortic Balloon Pump in Cardiac Surgery: A Decade Later

Abstract

The study demonstrated a significant decrease in the IABP-related complications even though complexity of cases referred for surgery has increased. Henceforth, the risk of 1% vascular complications should play little influence on decision-making regarding the use of IABP.

Coronary artery bypass grafting in patients with low ejection fraction: The effect of intra-aortic balloon pump insertion on early outcome

“…[1,2] Also, it has been clear that IABP is an effective means of supporting failing circulation in patients at high risk of cardiovascular events post-operatively. [3] However, IABP is an intensive care-based treatment and is therefore costly. In addition, it can be accompanied by complications including limb ischemia, aortic or iliac dissection bleeding, infection, hemolysis, paraplegia, and stroke.…”

Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

“…An American study reported incidence levels ranging between 7.2 and 47% of vascular complications in cases of IABP use (5) . In 2000, a study In this study, as opposed to other sources (6)(7) , f e m a l e p a t i e n t s r e v e a l e d f e w e r r i s k s o f complications than men. A study published in 2000 demonstrated, using multivariate analysis, that the female gender, peripheral vascular disease and high body mass index (BMI) were independent predictors for the appearance of complications (8) .…”

Predictors of survival in patients requiring IABP support following cardiac surgery

“…Only "sheathless" systems were used in the Heart and Diabetes Centre, North-RhineWestfalia, to minimize occlusion of the femoral vessels, and the balloon is placed just distal to the left subclavian artery. Use of small (8 French), sheathless catheters, and percutaneous insertion is associated with less complications (Elahi et al, 2005). …”