Paraplegia following intraaortic balloon circulatory assistance

Benício, Anderson; Lf, Moreira; Jo, Auler Júnior; Na, Stolf; Ad, Jatene

doi:10.1590/s0066-782x1999000400009

Cited by 4 publications

(2 citation statements)

References 5 publications

(3 reference statements)

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“…The following ischemic complications are the most frequent [5][6][7][8] (Table II): ischemia of the lower limb by obturation of the lumen (balloon, sheath); thrombosis of the vessel; embolization of thrombus into the periphery (extremity, coronary or cerebral, or splanchnic arteries 7,9 ; ischemia of intestine, spleen, or medulla due to unsuitable position of the balloon 6 ; the compartment syndrome 10 ; and paraplegia. 11 The next group, ie, injury of the vascular wall includes the following: perforation, laceration of the artery, "valve" of the intima, arterial dissection, subadventitial hematoma, and pseudoaneurysm. Thrombotic complications may be caused by the following: parietal thrombus (adhering to 1 side of the wall of the vessel), thrombus at the site of puncture or at the injured site, visceral thrombosis, thrombus on the balloon, and appositional thrombus.…”

Section: Discussionmentioning

confidence: 99%

Vascular Complications of the Intra-aortic Balloon Counterpulsation

et al. 2005

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From September 1994 to December 2002, 6,274 cardiosurgery operations were performed at the Department of Cardiac Surgery, University Hospital, Hradec Kralove, Czech Republic. Intra-aortic balloon counterpulsation (IABP) was applied in 192 cases (3.1%). From this group of 192 counterpulsated patients 103 were successfully treated (53.6%); 89 counterpulsated patients (46.4%) died from the surgical procedure (30-day mortality rate). In 5 cases (2.6%) from the group of 192, the IABP was introduced before the operation. Ischemic changes of the limb were observed in 11 cases (5.7%). Significant bleeding occurred at the site of puncture in 6 cases (3.1%). Dissection of the femoral and iliac arteries was found in 2 patients (1.0%), perforation of the iliac artery in 1 case (0.5%). In 2 cases (1.0%) the balloon was led into the venous system. In case report No. 1 an introduction of the balloon under a sclerotic plaque of the descending aorta and iliac artery is described. In case report No. 2 a placement of the balloon in the venous bloodstream is reported.

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Section: Discussionmentioning

confidence: 99%

Vascular Complications of the Intra-aortic Balloon Counterpulsation

et al. 2005

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“…So far, 31 cases of paraplegia following CABG have been reported in the English literature (Table ) . However, there are only a few reported cases of spinal cord infarctions following cardiac surgery without an aortic dissection and use of IABP.…”

Section: Discussionmentioning

confidence: 99%

Paraplegia Due to Spinal Cord Infarction After Coronary Artery Bypass Graft Surgery

et al. 2015

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The length of the aorta from the subclavian artery to the renal artery based on computed tomographic measurements in Japanese adults

Igari

2006

J Artif Organs

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To estimate the length of the aorta from the subclavian artery to the renal artery in Japanese adults, its length was measured on computed tomographic (CT) images. Data from a total of 110 patients without aortic or aortic valvular diseases (54 men, 56 women) who had undergone 7-mm-slice-interval CT examination of the entire aorta was analyzed in this study. The length of the aorta was found to be 214.1 +/- 20.7 mm and showed a positive correlation with height (r = 0.664). Especially, the length of the aorta in male patients was correlated with body mass, i.e., height, weight, and body surface area. From these results, it appears that the majority of commercially available intra-aortic balloon catheters are too long for use in the Japanese population. It is concluded that a shorter, more suitable catheter should be made available for safe use in Japanese patients.

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Paraplegia following intraaortic balloon circulatory assistance

Cited by 4 publications

References 5 publications

Vascular Complications of the Intra-aortic Balloon Counterpulsation

Vascular Complications of the Intra-aortic Balloon Counterpulsation

Paraplegia Due to Spinal Cord Infarction After Coronary Artery Bypass Graft Surgery

The length of the aorta from the subclavian artery to the renal artery based on computed tomographic measurements in Japanese adults

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