Vascular complications following intra-aortic balloon pump implantation: an updated review

Monique M de Jong; Roberto Lorusso; Fatima Al Awami; Francesco Matteuci; Orlando Parise; Pieter Lozekoot; Massimo Bonacchi; Jos G Maessen; Daniel M Johnson; Sandro Gelsomino

doi:10.1177/0267659117727825

Vascular complications following intra-aortic balloon pump implantation: an updated review

Monique M de Jong, Roberto Lorusso, Fatima Al Awami, Francesco Matteuci, Orlando Parise, Pieter Lozekoot, Massimo Bonacchi, Jos G Maessen, Daniel M Johnson, Sandro Gelsomino

Cardiovascular Sciences

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

169 Downloads (Pure)

Abstract

Background: The use of the intra-aortic balloon pump (IABP) as a support device remains controversial due to the fact that a number of studies have shown no benefit in end mortality whilst using this device. One of the reasons for this could be the increase in vascular complications when using the pump. Therefore, the aim of the present review was to assess the current literature available with regards to IABP vascular complications during the clinical situation.

Methods: A literature search was performed, searching for IABP complications in adult human studies between 1990 and 2016.

Results: A total of 20 reports were identified as fitting the criteria of this study. The majority of vascular complications were limb ischemia, bleeding or mesenteric ischemia. The overall incidence of vascular complications ranged from 0.94% to 31.1%. Diabetes, peripheral vascular disease and hypertension, as well as smoking were all identified as risk factors for complications following IABP. Furthermore, studies supported the use of sheathless balloon insertion to reduce the risk of complications.

Conclusion: Major vascular complications, including limb and mesenteric ischemia as well as bleeding and hemorrhage, have been associated with IABP. However, the incidence of these complications was generally low. Further studies are still required to truly understand the risk/benefit associated with the use of IABP.

Original language	English
Pages (from-to)	96-104
Journal	Perfusion
Volume	33
Issue number	2
Early online date	17 Aug 2017
DOIs	https://doi.org/10.1177/0267659117727825
Publication status	Published - 1 Mar 2018

Bibliographical note

de Jong, M. M., Lorusso, R., Awami, F. A., Matteuci, F., Parise, O., Lozekoot, P., … Gelsomino, S. (2018). Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion, 33(2), 96–104. https://doi.org/10.1177/0267659117727825

Keywords

IABP
vascular complications
limb ischemia
mesenteric ischemia

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0267659117727825Licence: Creative Commons: Attribution-NonCommercial (CC BY-NC)

de_Jong_et_al_Vascular_complications_following_intra-aortic_Perfusion_2017
de Jong, M. M., Lorusso, R., Awami, F. A., Matteuci, F., Parise, O., Lozekoot, P., … Gelsomino, S. (2018). Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion, 33(2), 96–104. https://doi.org/10.1177/0267659117727825
Final published version, 281 KBLicence: Creative Commons: Attribution-NonCommercial (CC BY-NC)

https://journals.sagepub.com/doi/10.1177/0267659117727825Licence: Creative Commons: Attribution-NonCommercial (CC BY-NC)

Cite this

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title = "Vascular complications following intra-aortic balloon pump implantation: an updated review",

abstract = "Background: The use of the intra-aortic balloon pump (IABP) as a support device remains controversial due to the fact that a number of studies have shown no benefit in end mortality whilst using this device. One of the reasons for this could be the increase in vascular complications when using the pump. Therefore, the aim of the present review was to assess the current literature available with regards to IABP vascular complications during the clinical situation.Methods: A literature search was performed, searching for IABP complications in adult human studies between 1990 and 2016.Results: A total of 20 reports were identified as fitting the criteria of this study. The majority of vascular complications were limb ischemia, bleeding or mesenteric ischemia. The overall incidence of vascular complications ranged from 0.94% to 31.1%. Diabetes, peripheral vascular disease and hypertension, as well as smoking were all identified as risk factors for complications following IABP. Furthermore, studies supported the use of sheathless balloon insertion to reduce the risk of complications.Conclusion: Major vascular complications, including limb and mesenteric ischemia as well as bleeding and hemorrhage, have been associated with IABP. However, the incidence of these complications was generally low. Further studies are still required to truly understand the risk/benefit associated with the use of IABP.",

keywords = "IABP, vascular complications, limb ischemia, mesenteric ischemia",

author = "Jong, {Monique M de} and Roberto Lorusso and Awami, {Fatima Al} and Francesco Matteuci and Orlando Parise and Pieter Lozekoot and Massimo Bonacchi and Maessen, {Jos G} and Johnson, {Daniel M} and Sandro Gelsomino",

note = "de Jong, M. M., Lorusso, R., Awami, F. A., Matteuci, F., Parise, O., Lozekoot, P., … Gelsomino, S. (2018). Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion, 33(2), 96–104. https://doi.org/10.1177/0267659117727825",

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T2 - an updated review

AU - Jong, Monique M de

AU - Lorusso, Roberto

AU - Awami, Fatima Al

AU - Matteuci, Francesco

AU - Parise, Orlando

AU - Lozekoot, Pieter

AU - Bonacchi, Massimo

AU - Maessen, Jos G

AU - Johnson, Daniel M

AU - Gelsomino, Sandro

N1 - de Jong, M. M., Lorusso, R., Awami, F. A., Matteuci, F., Parise, O., Lozekoot, P., … Gelsomino, S. (2018). Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion, 33(2), 96–104. https://doi.org/10.1177/0267659117727825

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Background: The use of the intra-aortic balloon pump (IABP) as a support device remains controversial due to the fact that a number of studies have shown no benefit in end mortality whilst using this device. One of the reasons for this could be the increase in vascular complications when using the pump. Therefore, the aim of the present review was to assess the current literature available with regards to IABP vascular complications during the clinical situation.Methods: A literature search was performed, searching for IABP complications in adult human studies between 1990 and 2016.Results: A total of 20 reports were identified as fitting the criteria of this study. The majority of vascular complications were limb ischemia, bleeding or mesenteric ischemia. The overall incidence of vascular complications ranged from 0.94% to 31.1%. Diabetes, peripheral vascular disease and hypertension, as well as smoking were all identified as risk factors for complications following IABP. Furthermore, studies supported the use of sheathless balloon insertion to reduce the risk of complications.Conclusion: Major vascular complications, including limb and mesenteric ischemia as well as bleeding and hemorrhage, have been associated with IABP. However, the incidence of these complications was generally low. Further studies are still required to truly understand the risk/benefit associated with the use of IABP.

AB - Background: The use of the intra-aortic balloon pump (IABP) as a support device remains controversial due to the fact that a number of studies have shown no benefit in end mortality whilst using this device. One of the reasons for this could be the increase in vascular complications when using the pump. Therefore, the aim of the present review was to assess the current literature available with regards to IABP vascular complications during the clinical situation.Methods: A literature search was performed, searching for IABP complications in adult human studies between 1990 and 2016.Results: A total of 20 reports were identified as fitting the criteria of this study. The majority of vascular complications were limb ischemia, bleeding or mesenteric ischemia. The overall incidence of vascular complications ranged from 0.94% to 31.1%. Diabetes, peripheral vascular disease and hypertension, as well as smoking were all identified as risk factors for complications following IABP. Furthermore, studies supported the use of sheathless balloon insertion to reduce the risk of complications.Conclusion: Major vascular complications, including limb and mesenteric ischemia as well as bleeding and hemorrhage, have been associated with IABP. However, the incidence of these complications was generally low. Further studies are still required to truly understand the risk/benefit associated with the use of IABP.

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JO - Perfusion

JF - Perfusion

IS - 2

ER -

Vascular complications following intra-aortic balloon pump implantation: an updated review

Abstract

Bibliographical note

Keywords

UN SDGs

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