PREVENTION FOR LIMB ISCHEMIA OF THE PATIENTS WITH IABP AFTER CARDIOVASCULAR SURGERY

Abstract

Seven patients undergone intra-aortic balloon pumping (IABP) after cardiovascular surgery could survive without vascular complication and/or ischemia of the limb which might be caused by IABP. For prevention of vascular troubles of the lower limbs, some active therapeutic attempts were employed as follows:
1) Balloon insertion through the femoral artery and continuous injection of heparin (3 cases).
2) Balloon insertion through the femoral artery and femoro-femoral arterial bypass 91 case).
3) Balloon insertion throught the left common iliac artery and axillo-femoral arterial bypass (2 cases).
No cases developed femoral arterial thrombosis nor ones demanded arterial dissection were experienced. Surgical insertion of IABP appears to be safer than the percutaneous route. In addition, active prophilactic surgery is effective in such cases as to have possible factors to develop limb ischemia including atherosclerosis.