Aortic Dissection Complicating Intraaortic Balloon Pumping: Percutaneous Management of Delayed Spinal Cord Ischemia

Iatrogenic acute type B dissection is a rare complication of intraaortic balloon pumping. Delayed visceral and spinal cord malperfusion can occur for distal progression of the dissection or relative hypotension. Cerebrospinal fluid drainage and percutaneous balloon fenestration provide a safe and ef...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 88; no. 6; pp. e60 - e62
Main Authors Trabattoni, Piero, MD, Zoli, Stefano, MD, Dainese, Luca, MD, Spirito, Rita, MD, Biglioli, Paolo, MD, Agrifoglio, Marco, MD, PhD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.12.2009
Subjects
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Angioplasty, Balloon - methods
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnosis
Cardiothoracic Surgery
Decompression, Surgical - methods
Female
Follow-Up Studies
Humans
Intra-Aortic Balloon Pumping - adverse effects
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - therapy
Shock, Cardiogenic - therapy
Spinal Cord Ischemia - etiology
Spinal Cord Ischemia - therapy
Surgery
Tomography, X-Ray Computed
26
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Summary:Iatrogenic acute type B dissection is a rare complication of intraaortic balloon pumping. Delayed visceral and spinal cord malperfusion can occur for distal progression of the dissection or relative hypotension. Cerebrospinal fluid drainage and percutaneous balloon fenestration provide a safe and effective method for managing ischemic complications.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2009.09.083