主动脉内球囊泵使用时间及相关并发症。

Acute cardiac care Pub Date : 2014-06-01 Epub Date: 2014-03-21 DOI:10.3109/17482941.2014.889311
Konstantinos Dean Boudoulas, Theodore Bowen, Andrew Pederzolli, Kyle Pfahl, Vincent J Pompili, Ernest L Mazzaferri
{"title":"主动脉内球囊泵使用时间及相关并发症。","authors":"Konstantinos Dean Boudoulas,&nbsp;Theodore Bowen,&nbsp;Andrew Pederzolli,&nbsp;Kyle Pfahl,&nbsp;Vincent J Pompili,&nbsp;Ernest L Mazzaferri","doi":"10.3109/17482941.2014.889311","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intra-aortic balloon pump (IABP) use may be associated with complications; however, in certain patients with ST-elevation myocardial infarction (STEMI) with hemodynamic instability refractory to medical management its use may become necessary.</p><p><strong>Methods: </strong>36 STEMI patients with IABP placement for hemodynamic instability after percutaneous coronary intervention were studied. IABP duration ranged from one to seven days (median two days). Based on median time, patients were divided into two groups: IABP duration ≤ 2 days (n = 27) or > 2 days (n = 9). Vascular complications and incidence of bleeding were compared.</p><p><strong>Results: </strong>Mean IABP duration was 1.4 ± 0.5 and 4.1 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.01). Glycoprotein IIb/IIIa inhibitor and anti-coagulation use was not significantly different between groups. Mean duration of anti-coagulation was 1.9 ± 1.2 and 4.5 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.05). Complications (vascular, access site bleeding, gastrointestinal bleeding) were significantly greater in > 2 day group (66%) compared to ≤ 2 day group (18%; P < 0.05).</p><p><strong>Conclusions: </strong>When an IABP was used for more than two days complications significantly increased. The clinical implications of the study will be strengthened if the findings are confirmed in a prospective study with a larger number of patients.</p>","PeriodicalId":87385,"journal":{"name":"Acute cardiac care","volume":"16 2","pages":"74-7"},"PeriodicalIF":0.0000,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/17482941.2014.889311","citationCount":"14","resultStr":"{\"title\":\"Duration of intra-aortic balloon pump use and related complications.\",\"authors\":\"Konstantinos Dean Boudoulas,&nbsp;Theodore Bowen,&nbsp;Andrew Pederzolli,&nbsp;Kyle Pfahl,&nbsp;Vincent J Pompili,&nbsp;Ernest L Mazzaferri\",\"doi\":\"10.3109/17482941.2014.889311\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Intra-aortic balloon pump (IABP) use may be associated with complications; however, in certain patients with ST-elevation myocardial infarction (STEMI) with hemodynamic instability refractory to medical management its use may become necessary.</p><p><strong>Methods: </strong>36 STEMI patients with IABP placement for hemodynamic instability after percutaneous coronary intervention were studied. IABP duration ranged from one to seven days (median two days). Based on median time, patients were divided into two groups: IABP duration ≤ 2 days (n = 27) or > 2 days (n = 9). Vascular complications and incidence of bleeding were compared.</p><p><strong>Results: </strong>Mean IABP duration was 1.4 ± 0.5 and 4.1 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.01). Glycoprotein IIb/IIIa inhibitor and anti-coagulation use was not significantly different between groups. Mean duration of anti-coagulation was 1.9 ± 1.2 and 4.5 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.05). Complications (vascular, access site bleeding, gastrointestinal bleeding) were significantly greater in > 2 day group (66%) compared to ≤ 2 day group (18%; P < 0.05).</p><p><strong>Conclusions: </strong>When an IABP was used for more than two days complications significantly increased. The clinical implications of the study will be strengthened if the findings are confirmed in a prospective study with a larger number of patients.</p>\",\"PeriodicalId\":87385,\"journal\":{\"name\":\"Acute cardiac care\",\"volume\":\"16 2\",\"pages\":\"74-7\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.3109/17482941.2014.889311\",\"citationCount\":\"14\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acute cardiac care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3109/17482941.2014.889311\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2014/3/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acute cardiac care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3109/17482941.2014.889311","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2014/3/21 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 14

摘要

背景:主动脉内球囊泵(IABP)的使用可能与并发症相关;然而,在某些st段抬高型心肌梗死(STEMI)伴有血流动力学不稳定且药物治疗难治性的患者中,可能需要使用它。方法:对36例经皮冠状动脉介入治疗后放置IABP治疗血流动力学不稳定的STEMI患者进行研究。IABP持续时间为1 - 7天(中位数为2天)。根据中位时间将患者分为IABP持续时间≤2天(n = 27)和> 2天(n = 9)两组,比较血管并发症和出血发生率。结果:≤2天组和> 2天组的平均IABP持续时间分别为1.4±0.5天和4.1±1.3天(P < 0.01)。两组间糖蛋白IIb/IIIa抑制剂和抗凝使用无显著差异。≤2 d组和> 2 d组的平均抗凝时间分别为1.9±1.2天和4.5±1.3 d (P < 0.05)。并发症(血管、通路出血、胃肠道出血)> 2天组(66%)明显高于≤2天组(18%;P < 0.05)。结论:当IABP使用超过2天时,并发症明显增加。如果研究结果在更多患者的前瞻性研究中得到证实,该研究的临床意义将得到加强。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Duration of intra-aortic balloon pump use and related complications.

Background: Intra-aortic balloon pump (IABP) use may be associated with complications; however, in certain patients with ST-elevation myocardial infarction (STEMI) with hemodynamic instability refractory to medical management its use may become necessary.

Methods: 36 STEMI patients with IABP placement for hemodynamic instability after percutaneous coronary intervention were studied. IABP duration ranged from one to seven days (median two days). Based on median time, patients were divided into two groups: IABP duration ≤ 2 days (n = 27) or > 2 days (n = 9). Vascular complications and incidence of bleeding were compared.

Results: Mean IABP duration was 1.4 ± 0.5 and 4.1 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.01). Glycoprotein IIb/IIIa inhibitor and anti-coagulation use was not significantly different between groups. Mean duration of anti-coagulation was 1.9 ± 1.2 and 4.5 ± 1.3 days in ≤ 2 day and > 2 day groups, respectively (P < 0.05). Complications (vascular, access site bleeding, gastrointestinal bleeding) were significantly greater in > 2 day group (66%) compared to ≤ 2 day group (18%; P < 0.05).

Conclusions: When an IABP was used for more than two days complications significantly increased. The clinical implications of the study will be strengthened if the findings are confirmed in a prospective study with a larger number of patients.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
A multi-hospital analysis of predictors of oral anticoagulation prescriptions for patients with actionable atrial fibrillation who attend the emergency department. Mayo registry for telemetry efficacy in arrest study: An evaluation of the feasibility of the do not intubate code status. Acute pneumopericardium: when echocardiography is not enough. Severe burns in a patient after out-of-hospital CPR. Pregnant women with heart disease: Placental characteristics and their association with fetal adverse events.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1