Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion
The feasibility and safety of percutaneous versus surgical intra-aortic balloon pumping (IABP) in the elderly were evaluated in 45 patients who were over 65 years of age (range 65–79). All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempte...
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| Veröffentlicht in: | European heart journal 1984-03, Vol.5 (3), p.222-226 |
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| container_title | European heart journal |
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| creator | DI BARI, M. DE ALFIERI, W. GREPPI, B. CONTI, A. FERRUCCI, L. CALAMANDREI, M. VANNUCCI, A. PINI, R. MENEGATTI, G. VASSANELLI, C. MARCHIONNI, N. |
| description | The feasibility and safety of percutaneous versus surgical intra-aortic balloon pumping (IABP) in the elderly were evaluated in 45 patients who were over 65 years of age (range 65–79). All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempted by the surgical technique in 22 patients, while the percutaneous approach was performed in 23. A consistent improvement in the incidence rale of successful insertion was attained with the use of the percutaneous technique as compared with the surgical one (91.3% v. 59.1%, P |
| doi_str_mv | 10.1093/oxfordjournals.eurheartj.a061640 |
| format | Article |
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All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempted by the surgical technique in 22 patients, while the percutaneous approach was performed in 23. A consistent improvement in the incidence rale of successful insertion was attained with the use of the percutaneous technique as compared with the surgical one (91.3% v. 59.1%, P<005). Furthermore, no major complication was observed with the percutaneous catheter, while a 9.1% (2/22) incidence rate of serious complications was reported with the surgical technique. Thus, percutaneous IABP substantially decreased the unsuccessful insertions and the risk of severe complications in old patients, despite presumably severe aorto-iliac disease. No specifically age-related technical problem seems, therefore, to limit the applicability of intra-aortic counterpulsation to elderly patients, when percutaneous IABP is employed.</description><identifier>ISSN: 0195-668X</identifier><identifier>EISSN: 1522-9645</identifier><identifier>DOI: 10.1093/oxfordjournals.eurheartj.a061640</identifier><identifier>PMID: 6723691</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Assisted Circulation - methods ; Catheterization - adverse effects ; Catheterization - methods ; Feasibility Studies ; Humans ; intra-aortic balloon counterpulsation ; Intra-Aortic Balloon Pumping - adverse effects ; Intra-Aortic Balloon Pumping - methods ; Ischemia - etiology ; Leg - blood supply ; Middle Aged ; myocardial infarction ; Myocardial Infarction - therapy ; Risk ; Wound Infection - etiology</subject><ispartof>European heart journal, 1984-03, Vol.5 (3), p.222-226</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-22b3e8dd00c40fc335902d614d1e164a6cb8d8c52fd51e70ba28615bea6dda0a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6723691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DI BARI, M.</creatorcontrib><creatorcontrib>DE ALFIERI, W.</creatorcontrib><creatorcontrib>GREPPI, B.</creatorcontrib><creatorcontrib>CONTI, A.</creatorcontrib><creatorcontrib>FERRUCCI, L.</creatorcontrib><creatorcontrib>CALAMANDREI, M.</creatorcontrib><creatorcontrib>VANNUCCI, A.</creatorcontrib><creatorcontrib>PINI, R.</creatorcontrib><creatorcontrib>MENEGATTI, G.</creatorcontrib><creatorcontrib>VASSANELLI, C.</creatorcontrib><creatorcontrib>MARCHIONNI, N.</creatorcontrib><title>Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion</title><title>European heart journal</title><addtitle>Eur Heart J</addtitle><description>The feasibility and safety of percutaneous versus surgical intra-aortic balloon pumping (IABP) in the elderly were evaluated in 45 patients who were over 65 years of age (range 65–79). All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempted by the surgical technique in 22 patients, while the percutaneous approach was performed in 23. A consistent improvement in the incidence rale of successful insertion was attained with the use of the percutaneous technique as compared with the surgical one (91.3% v. 59.1%, P<005). Furthermore, no major complication was observed with the percutaneous catheter, while a 9.1% (2/22) incidence rate of serious complications was reported with the surgical technique. Thus, percutaneous IABP substantially decreased the unsuccessful insertions and the risk of severe complications in old patients, despite presumably severe aorto-iliac disease. No specifically age-related technical problem seems, therefore, to limit the applicability of intra-aortic counterpulsation to elderly patients, when percutaneous IABP is employed.</description><subject>Aged</subject><subject>Assisted Circulation - methods</subject><subject>Catheterization - adverse effects</subject><subject>Catheterization - methods</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>intra-aortic balloon counterpulsation</subject><subject>Intra-Aortic Balloon Pumping - adverse effects</subject><subject>Intra-Aortic Balloon Pumping - methods</subject><subject>Ischemia - etiology</subject><subject>Leg - blood supply</subject><subject>Middle Aged</subject><subject>myocardial infarction</subject><subject>Myocardial Infarction - therapy</subject><subject>Risk</subject><subject>Wound Infection - etiology</subject><issn>0195-668X</issn><issn>1522-9645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkMFq3DAQhkVpSDdpHqHgU-nFm5FlyXZPLaHJBhJ6acMSAkKWxom3XssdySV5-yjsstDTHP5Pv2Y-xr5wWHJoxLl_7jy5jZ9pNENY4kxPaChulgYUVyW8YwsuiyJvVCnfswXwRuZK1esP7CSEDQDUCTtmx6oqhGr4gj1cj5FMbjzF3matGQbvx2yat1M_Pmb9mMUnzHBwSMPL12xCsnM0I_o5ZP-QQhphpsfemiGzJrERKb0KmOr8-JEddWlNPNvPU_b78sevi1V-8_Pq-uL7TW6FKmNeFK3A2jkAW0JnhZANFE7x0nFMRxll29rVVhadkxwraE2RzpAtGuWcASNO2edd70T-74wh6m0fLA7DblNdc6hKkJDAbzvQkg-BsNMT9VtDL5qDfhOs_xesD4L1XnCq-LT_a2636A4Fe6Mpz3d5HyI-H2JDfxIiKqlX63u9bqr727vVnW7EK0kjkvE</recordid><startdate>198403</startdate><enddate>198403</enddate><creator>DI BARI, M.</creator><creator>DE ALFIERI, W.</creator><creator>GREPPI, B.</creator><creator>CONTI, A.</creator><creator>FERRUCCI, L.</creator><creator>CALAMANDREI, M.</creator><creator>VANNUCCI, A.</creator><creator>PINI, R.</creator><creator>MENEGATTI, G.</creator><creator>VASSANELLI, C.</creator><creator>MARCHIONNI, N.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198403</creationdate><title>Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion</title><author>DI BARI, M. ; DE ALFIERI, W. ; GREPPI, B. ; CONTI, A. ; FERRUCCI, L. ; CALAMANDREI, M. ; VANNUCCI, A. ; PINI, R. ; MENEGATTI, G. ; VASSANELLI, C. ; MARCHIONNI, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-22b3e8dd00c40fc335902d614d1e164a6cb8d8c52fd51e70ba28615bea6dda0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Aged</topic><topic>Assisted Circulation - methods</topic><topic>Catheterization - adverse effects</topic><topic>Catheterization - methods</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>intra-aortic balloon counterpulsation</topic><topic>Intra-Aortic Balloon Pumping - adverse effects</topic><topic>Intra-Aortic Balloon Pumping - methods</topic><topic>Ischemia - etiology</topic><topic>Leg - blood supply</topic><topic>Middle Aged</topic><topic>myocardial infarction</topic><topic>Myocardial Infarction - therapy</topic><topic>Risk</topic><topic>Wound Infection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DI BARI, M.</creatorcontrib><creatorcontrib>DE ALFIERI, W.</creatorcontrib><creatorcontrib>GREPPI, B.</creatorcontrib><creatorcontrib>CONTI, A.</creatorcontrib><creatorcontrib>FERRUCCI, L.</creatorcontrib><creatorcontrib>CALAMANDREI, M.</creatorcontrib><creatorcontrib>VANNUCCI, A.</creatorcontrib><creatorcontrib>PINI, R.</creatorcontrib><creatorcontrib>MENEGATTI, G.</creatorcontrib><creatorcontrib>VASSANELLI, C.</creatorcontrib><creatorcontrib>MARCHIONNI, N.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DI BARI, M.</au><au>DE ALFIERI, W.</au><au>GREPPI, B.</au><au>CONTI, A.</au><au>FERRUCCI, L.</au><au>CALAMANDREI, M.</au><au>VANNUCCI, A.</au><au>PINI, R.</au><au>MENEGATTI, G.</au><au>VASSANELLI, C.</au><au>MARCHIONNI, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion</atitle><jtitle>European heart journal</jtitle><addtitle>Eur Heart J</addtitle><date>1984-03</date><risdate>1984</risdate><volume>5</volume><issue>3</issue><spage>222</spage><epage>226</epage><pages>222-226</pages><issn>0195-668X</issn><eissn>1522-9645</eissn><abstract>The feasibility and safety of percutaneous versus surgical intra-aortic balloon pumping (IABP) in the elderly were evaluated in 45 patients who were over 65 years of age (range 65–79). All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempted by the surgical technique in 22 patients, while the percutaneous approach was performed in 23. A consistent improvement in the incidence rale of successful insertion was attained with the use of the percutaneous technique as compared with the surgical one (91.3% v. 59.1%, P<005). Furthermore, no major complication was observed with the percutaneous catheter, while a 9.1% (2/22) incidence rate of serious complications was reported with the surgical technique. Thus, percutaneous IABP substantially decreased the unsuccessful insertions and the risk of severe complications in old patients, despite presumably severe aorto-iliac disease. No specifically age-related technical problem seems, therefore, to limit the applicability of intra-aortic counterpulsation to elderly patients, when percutaneous IABP is employed.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>6723691</pmid><doi>10.1093/oxfordjournals.eurheartj.a061640</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0195-668X |
| ispartof | European heart journal, 1984-03, Vol.5 (3), p.222-226 |
| issn | 0195-668X 1522-9645 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals Digital Archive Legacy |
| subjects | Aged Assisted Circulation - methods Catheterization - adverse effects Catheterization - methods Feasibility Studies Humans intra-aortic balloon counterpulsation Intra-Aortic Balloon Pumping - adverse effects Intra-Aortic Balloon Pumping - methods Ischemia - etiology Leg - blood supply Middle Aged myocardial infarction Myocardial Infarction - therapy Risk Wound Infection - etiology |
| title | Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion |
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