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Case Report: Limb salvage following iatrogenic arterial injury: complications of cardiac support using intra-aortic balloon pumps

机译:病例报告:医源性动脉损伤后的四肢抢救:使用主动脉内球囊泵进行心脏支持的并发症

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摘要

This is a unique case report describing complex limb salvage in a patient who experienced acute limb ischaemia due to a complication of intra-aortic balloon pump (IABP) counterpulsation. This case focuses on a patient who had an IABP counterpulsation device inserted following myocardial infarction, requiring urgent coronary artery bypass grafting for acute coronary syndrome. Postoperatively, the IABP could not be removed, with consequent iliac thrombosis and acute limb ischaemia. Emergency femoral-to-femoral crossover bypass was performed using a polytetrafluoroethylene graft. A portion of the IABP balloon tip was entrapped and retained, however, and became the focus of delayed septicaemia, resulting in graft infection and wound breakdown 6 weeks later. Explantation of the residual balloon tip, ligation of the right external iliac artery and redo femoral–femoral crossover using the great saphenous vein were successfully performed.
机译:这是一个独特的病例报告,描述了由于主动脉内球囊反搏(IABP)并发症导致急性肢体缺血的患者进行复杂的肢体抢救。该病例针对的是在心肌梗死后插入IABP反搏装置的患者,该患者需要紧急冠状动脉搭桥术治疗急性冠状动脉综合征。术后无法去除IABP,从而导致血栓形成和急性肢体缺血。使用聚四氟乙烯移植物进行紧急股-股交叉手术。然而,IABP球囊尖端的一部分被截留并保留下来,成为延迟败血病的焦点,导致移植物感染和6周后伤口破裂。成功地进行了残余气囊尖端的植入,右外动脉的结扎以及使用大隐静脉的股骨-股骨交叉的重做。

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