Sex and other predictors of intra-aortic balloon counterpulsation[ndash ]related complications: Prospective study of 1119 consecutive patients

Cohen, Marc; Dawson, Martin Scott; Kopistansky, Christine; McBride, Ruth

doi:10.1067/mhj.2000.101489

Cited by 10 publications

(15 citation statements)

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“…In addition, there were very few complications, and all of these were amenable to treatment with surgical and endovascular methods. The 7.1% major vascular complications and 11.9% minor complications attending the use of the StarClose device are similar to the 15% vascular complications (11% were major) reported for conventional manual compression [12,13]. Hence, it can be deduced that the StarClose device was not inferior to standard manual compression in terms of safety and efficacy.…”

Section: Discussionsupporting

confidence: 72%

Safety and Efficacy of the StarClose Vascular Closure System following 8-Fr Sheath Placement for Intra-Aortic Balloon Pump: A Single-Center Analysis of 42 Consecutive Patients

Chu¹,

Yang²,

Zhang³

et al. 2014

Med Princ Pract

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Objective: To assess the safety and efficacy of the StarClose device following intra-aortic balloon pump (IABP) counterpulsation using 8-Fr femoral sheaths. Subjects and Methods: From June 2008 to August 2012, 42 consecutive patients who received IABP implantation via common femoral artery (CFA) punctures with an 8-Fr sheath (which were then sealed with the StarClose Vascular Closure System at the bedside) were included in this retrospective single-arm study. All the patients underwent duplex control of the puncture site 24 h after deployment of the device, in order to determine the presence or absence of vascular complications including hematoma, pseudoaneurysm, arteriovenous fistula and arterial/venous thrombosis or stenosis. The safety end points were the vascular complications during the hospital stay, and the efficacy end points included device and procedure success. Results: The procedure success rate was 92.9% (39/42) and the device success rate was 88.1% (37/42). Major vascular complications occurred in 3 (7.1%) patients; 1 developed a massive hematoma >10 cm which was managed by blood transfusion and surgical reconstruction, and the other 2 developed pseudoaneurysm which was cured by ultrasound-guided thrombin injection or manual compression. Minor vascular complications occurred in 5 (11.9%) patients, including blood oozing in 2, hematoma <5 cm in 2 and severe pain in the remaining patient. Conclusion: CFA closure with the StarClose device was safe, feasible and effective in patients undergoing IABP support using 8-Fr sheath sizes.

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Section: Discussionsupporting

confidence: 72%

Safety and Efficacy of the StarClose Vascular Closure System following 8-Fr Sheath Placement for Intra-Aortic Balloon Pump: A Single-Center Analysis of 42 Consecutive Patients

Chu¹,

Yang²,

Zhang³

et al. 2014

Med Princ Pract

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“…The most frequent vascular complication associated with IABP insertion was limb ischemia which had an incidence ranging from 0.9% to 26.7% (mean 8.03 ± 7.4). 12 – 16 , 18 – 29 Arceo et al concluded that limb ischemia occurred early after balloon placement and observed ischemia in 12 (5.7%) patients. In half of these patients, the ischemia was transient and resolved itself after removal of the IABP.…”

Section: Resultsmentioning

confidence: 99%

“… 18 In five studies, amputation for limb ischemia was reported at rates varying from 0.1 to 3.5%. 14 , 16 , 19 , 24 , 28 …”

Section: Resultsmentioning

confidence: 99%

Vascular complications following intra-aortic balloon pump implantation: an updated review

et al. 2017

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Background:The use of the intra-aortic balloon pump (IABP) as a support device remains controversial due to the fact that a number of studies have shown no benefit in end mortality whilst using this device. One of the reasons for this could be the increase in vascular complications when using the pump. Therefore, the aim of the present review was to assess the current literature available with regards to IABP vascular complications during the clinical situation.Methods:A literature search was performed, searching for IABP complications in adult human studies between 1990 and 2016.Results:A total of 20 reports were identified as fitting the criteria of this study. The majority of vascular complications were limb ischemia, bleeding or mesenteric ischemia. The overall incidence of vascular complications ranged from 0.94% to 31.1%. Diabetes, peripheral vascular disease and hypertension, as well as smoking were all identified as risk factors for complications following IABP. Furthermore, studies supported the use of sheathless balloon insertion to reduce the risk of complications.Conclusion:Major vascular complications, including limb and mesenteric ischemia as well as bleeding and hemorrhage, have been associated with IABP. However, the incidence of these complications was generally low. Further studies are still required to truly understand the risk/benefit associated with the use of IABP.

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“…Peripheral vascular disease, female gender, and diabetes mellitus are significant predictors,[ 7 ] and demonstrated a high rate of vascular complications in post-surgical patients (26%). [ 9 10 11 ] In our case, the patient was male, neither hypertensive nor diabetic. The probable cause in this patient was bleeding during insertion resulting in thrombus formation leading to limb ischemia.…”

Section: Discussionmentioning

confidence: 64%

Leg amputation: A rare complication of intra-aortic balloon pump

et al. 2016

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Intra-aortic balloon pump (IABP) is a bridge to definitive management in a patient with compromised systolic function. It is a life-saving mechanical support to the failing myocardium. It is a procedure that should be employed judiciously with utmost caution. In this correspondence, we aim to highlight a rather serious complication associated with IABP use. A patient with triple vessel disease was posted for coronary artery bypass grafting with poor left ventricular function (ejection fraction 30%) and previous myocardial infarction 4 months back. An IABP was inserted in the left femoral artery following which he developed irreversible ischemia of the left lower limb leading to amputation of the limb. This catastrophic complication is one of the most dreaded impediments in the use of IABP. The clinician needs to weigh the pros and cons carefully and employ this vital procedure only when its use is explicitly justified.

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Sex and other predictors of intra-aortic balloon counterpulsation[ndash ]related complications: Prospective study of 1119 consecutive patients

Abstract: The current complication rate associated with IABC remains significant. Advances in IAB technology need to focus on the high-risk subset of patients that includes women, smaller patients, and those with peripheral vascular disease.

Cited by 10 publications

References 0 publications

Safety and Efficacy of the StarClose Vascular Closure System following 8-Fr Sheath Placement for Intra-Aortic Balloon Pump: A Single-Center Analysis of 42 Consecutive Patients

Safety and Efficacy of the StarClose Vascular Closure System following 8-Fr Sheath Placement for Intra-Aortic Balloon Pump: A Single-Center Analysis of 42 Consecutive Patients

Vascular complications following intra-aortic balloon pump implantation: an updated review

Leg amputation: A rare complication of intra-aortic balloon pump

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