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経皮経口風船ポンプの合併症

J C Harvey, J E Goldstein, J C McCabe

|August 1, 1981

まとめ

経皮入門風船ポンプ (PIABP) 挿入は,従来の方法と同様の合併症率を持っています. 他の治療法が適切である場合,挿入の容易さは,PIABPを使用する唯一の理由であってはならない.

科学分野:

心血管医学心血管医学
介入性心臓病学介入性心臓病学
医療機器医療機器について

背景:

逆パルス治療は,様々な心血管疾患の治療に使用されます.
皮膚内入動脈バルーンポンプ (PIABP) は,従来の方法と比較して,侵襲性の少ない挿入アプローチを提供します.

研究の目的:

経皮性入動脈風船ポンプ (PIABP) 挿入に関連する合併症をレビューする.
PIABPの安全性および合併症プロフィールを,従来型の内気球ポンプ (IABP) 挿入と比較する.

主な方法:

PIABP.を連続して受けた89人の患者の遡及レビュー.
挿入成功率と合併症の種類/重度の分析.
PIABPの合併症データと,従来のIABPに関する既存の文献の比較.

主要な成果:

PIABP挿入は,患者さんの86.5%で1回または2回の試みで成功しました.
77人の患者に重大な合併症が発生し,肢体イシュケミア (12),出血 (3),足の落下 (3),大動脈解剖 (3) を含む.
14人の患者で軽微な合併症が観察され,穿孔や風船破裂の症例は報告されなかった.

結論:

PIABPに関連する合併症の発生率と重症度は,従来のIABP挿入と比較できます.
PIABP挿入の利便性は,代替療法で管理可能な患者での使用の主要な要因であってはならない.

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