Báo cáo y học: "Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump. | Parissis et al. Journal of Cardiothoracic Surgery 2011 6 147 http content 6 1 147 REVIEW JCTS JOURNAL OF CARDIOTHORACIC SURGERY Open Access Intra aortic balloon pump literature review of risk factors related to complications of the intraaortic balloon pump Haralabos Parissis Alan Soo and Bassel Al-Alao Abstract The increasing use of the intra aortic balloon pump is attributed to the relatively easy percutaneous insertion and the low threshold of use over the past few years especially in elderly patients with multi-vessel diseases and an affected ejection fraction. Unfortunately the clinical assessment of the complications associated to the use of this supporting device underestimates the frequency of such complications. This report has looked at the current literature and attempt to identify incremental risk factors related to the development of adverse effects during support with an intaaortic balloon pump. The paper concludes that in contrary to early reports newer studies have shown that complications following intraaortic balloon pump treatment is decreasing. Moreover the literature suggests that the thrombosis and infective complications are relevant to the duration of the pump treatment while the ischemic problems of the limbs are mostly linked to the atherosclerotic status of the common femoral artery. Keywords intra aortic balloon pump IABP complications by the use of intra aortic balloon pump Introduction The complication rates when using an intra aortic balloon pump are high and may account for up to 50 according to Harvey et al 1 with an average 20-30 2 3 . Rates depend on the definition of complications as well as on whether the data are collected in advance or not. Certain researchers argue that clinical studies may significantly underestimate the actual frequency of complications. The high occurrence of ischemia in certain studies is possibly related to the lower mortality rate. On the contrary the low occurrence of .

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