文章基本信息

标题：Minimal Invasive Technique with Abdominal small Incision for Intra Aortic Balloon Entrapment : A case report.
本地全文：下载
作者：Nobuaki Kaki ; Masahito Saitho ; Takao Imazeki 等
期刊名称：循環制御
印刷版ISSN：0389-1844
出版年度：2003
卷号：24
期号：3
页码：253-256
DOI：10.11312/ccm.24.253
出版社：Japan Society of Circulation Control in Medicine
摘要：A 75-year-old man with unstable angina pectoris underwent coronary artery bypass grafting. Femoral IABP insertion was accomplished preoperatively, because of low left ventricular function. On the seventh postoperative day the IABP balloon rupture was detected. An attempt was made to remove the balloon at the bedside, but balloon entrapment was occurred. Surgical treatment was required for removing the balloon. In order to reduce operative invasion, the abdominal aorta and iliac artery were exposed through a small flank incision with retroperitoneum approach. The device was easily removed through a common iliac artery incision. Balloon rupture is a comparatively rare complication, but if occurs, the blood clot formation inside the balloon will result in balloon entrapment in the vessel frequently. Generally the case who needs the IABP as a mechanical assistance has a critical heart failure. Further the invasive laparotomy or large flank incision may worsen the hemodynamics status. Accordingly the minimal invasive technique was very important to reduce a patient’s burden.
关键词：Intra-aortic balloon pump ; Intra-aortic balloon entrapment ; Rupture ; Complication