A New Method to Prevent Ischemia of the Distal Extremity During Intraaortic Balloon Pump [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1998; 26(5): 313-315

A New Method to Prevent Ischemia of the Distal Extremity During Intraaortic Balloon Pump

Hasan KARABULUT1, Remzi TOSUN1, Ahmet KORUKÇU1, Hakan GERÇEKOĞLU1, Murat DEMİRTAŞ1, Onur SOKULLU1, Mehtap ŞİŞMAN1

Intraaortic balloon pumping (IABP) is stili the most common assist circulatory support system. One of the serious potential complications of this system is limb ischemia. A 64-year-old patient who underwent coronary bypass surgery developed ischemia on the IABP-applied Iimb, and the device, was tried to be transferred to the other extremity. Because this trial failed and the patient stili needed circulatory support, the IABP was again applied on the same limb. Distal perfusion was accomplished by using two 16 G catheters in each femoral artery which were connected with an extension tube used for the arterial pressure monitorization, and a blood flow of 90 ml/min was achieved. Signs of ischemia disappeared with the help of this system. Since the patient needed no futher circulatory support, intraaortic pumping and distal perfusion was terminated after fifteen hours. After insertion of IABP, if the transfer of the balloon to the other limb is not feasible, this is an easy and effective method.

Keywords: Coronary artery surgery, intraaortic balloon pumping, limb ischemia

How to cite this article
Hasan KARABULUT, Remzi TOSUN, Ahmet KORUKÇU, Hakan GERÇEKOĞLU, Murat DEMİRTAŞ, Onur SOKULLU, Mehtap ŞİŞMAN. A New Method to Prevent Ischemia of the Distal Extremity During Intraaortic Balloon Pump. Turk Kardiyol Dern Ars. 1998; 26(5): 313-315
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