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- Title
External femorofemoral bypass to relieve acute leg ischemia during circulatory assist.
- Authors
Dosluoglu, H. Haldun; Dryjski, Maciej L.
- Abstract
The development of limb ischemia in patients who are dependent on an intra-aortic balloon pump (IABP) and/or extracorporeal membrane oxygenation (ECMO) is a serious problem. We used external femorofemoral bypass grafting at the bedside as a salvage procedure in two such patients with effective reversal of ischemia, although both died of cardiac complications. This procedure can be considered in patients who are severely coagulopathic and are dependent on IABP and/or ECMO, in whom the graft removal would be considered at the time of balloon removal.
- Subjects
ISCHEMIA; LEG surgery; LEG blood-vessels; EXTRACORPOREAL membrane oxygenation; INTRA-aortic balloon counterpulsation; MYOCARDIAL infarction complications; CARDIOVASCULAR surgery; DISEASE complications; LIMB salvage; TREATMENT effectiveness; EQUIPMENT &; supplies
- Publication
Vascular, 2004, Vol 12, Issue 3, p198
- ISSN
1708-5381
- Publication type
journal article
- DOI
10.1258/rsmvasc.12.3.198