Related Experiment Video

Updated: Aug 23, 2026

The Intra-Aortic Balloon Pump
06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

Vascular complications associated with the use of intraaortic balloon pumping

P M Sanfelippo1, N H Baker, H G Ewy

  • 1Ohio Heart and Thoracic Surgery Center, Inc., Columbus, Ohio 43221-2485, USA.

Texas Heart Institute Journal
|June 1, 1987
PubMed

Insights

Vascular complications occurred in 11.1% of patients undergoing intraaortic balloon pumping (IABP). Most limb ischemia cases were resolved with balloon removal and thromboembolectomy, or femoral-femoral bypass.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery

Background:

  • Intraaortic balloon pumping (IABP) is a critical circulatory support device.
  • Vascular complications are a known risk associated with IABP insertion and use.

Purpose of the Study:

  • To determine the incidence of vascular complications in patients receiving IABP.
  • To evaluate management strategies for these complications.

Main Methods:

  • Retrospective analysis of 11 years of patient data (1973-1984).
  • Inclusion of 596 patients who underwent IABP.
  • Assessment of vascular complication rates and outcomes.

Main Results:

  • 11.1% (66/596) of patients experienced vascular complications, primarily limb ischemia.
  • Successful limb revascularization was achieved in most cases via balloon removal and thromboembolectomy.
  • Femoral-femoral bypass maintained limb viability when continued IABP was necessary.

Conclusions:

  • Vascular complications are a significant concern in IABP therapy.
  • Prompt surgical intervention, including thromboembolectomy and bypass grafting, can effectively manage these complications.
  • Careful patient selection is crucial, as peripheral vascular disease can preclude IABP use.

More Related Videos

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...