Compartment syndrome as a complication of intra-aortic balloon pumping

Perfusion ◽  
1986 ◽  
Vol 1 (3) ◽  
pp. 209-212
Author(s):  
JR Crockett ◽  
B. Glenville ◽  
JG Bennett
Keyword(s):  
Cardiac Output ◽  
Coronary Artery ◽  
Compartment Syndrome ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Compartment Pressure ◽  
Low Cardiac Output ◽  
Set Up ◽  
Compartment Pressures

Intra-aortic balloon pumping (IABP) is a well accepted therapy in low cardiac output states. The complications reported with the use of IABP are varied. Development of a swollen, tender calf and loss of sensation and/or function, yet retaining a warm limb with the palpable peripheral pulses during or immediately after IABP is one such complication. We believe that this represents compartment syndrome following temporary or partial ischaemia. We set out to measure the compartment pressure in 13 patients in whom IABP was used following coronary artery bypass graft surgery. Our results show that the slit catheter method used in this study to measure compartment pressures gave reliable results, was easy to set up and use and provided early warning of compartment syndrome, thus facilitating early treatment and viability of all limbs affected.

Cardiac and Neurologic Complications Identify Risks for Mortality for Both Men and Women Undergoing Coronary Artery Bypass Graft Surgery

2001 ◽  
Vol 95 (5) ◽  
pp. 1074-1078 ◽  
Author(s):  
Charles W. Hogue ◽  
Thoralf Sundt ◽  
Benico Barzilai ◽  
Kenneth B. Schecthman ◽  
Victor G. Dávila-Román
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Operative Mortality ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Low Cardiac Output Syndrome ◽  
Low Cardiac Output

Background Despite a number of studies showing that women and men respond to coronary artery bypass graft surgery differently, it is not known whether variables associated with mortality are the same for women and men. The purpose of this study was to identify variables independently associated with mortality for women undergoing coronary artery bypass graft surgery. Methods Single-institutional data were prospectively collected from 5,113 patients (1,558 or 30.5% women) undergoing coronary artery bypass graft surgery. The database was reviewed for patient characteristics and operative outcomes based on sex. Complications evaluated included low cardiac output syndrome (cardiac index < 2.0 l x min(-1) x m(-2) for > 8 h, regardless of treatment), stroke (new permanent global or focal motor deficits), Q-wave myocardial infarction, postoperative atrial fibrillation, and operative mortality. Results Women were older than men, and they were more likely to have preexisting hypertension, diabetes, and a history of stroke. Operative mortality for women was higher than for men (3.5% vs. 2.5%, P < 0.05). Compared with men, women were more likely to experience a postoperative myocardial infarction, stroke, and low cardiac output syndrome. When performing analysis on data from both sexes separately, low cardiac output syndrome, new stroke, myocardial infarction, and duration of cardiopulmonary bypass were independently associated with mortality for women and men both. Patient age was not independently associated with risk for mortality for women, but it was for men. However, when the authors combined both sexes in the logistic regression analysis, the age-sex interaction was not significant (P = 0.266), indicating that there was insufficient evidence to assert that age has a different effect on mortality for men and women. Conclusions These data confirm that women have higher perioperative mortality after coronary artery bypass graft surgery compared with men. A higher frequency of cardiac and neurologic complications seem to account to a large extent for the higher operative mortality for women. Factors independently associated with perioperative mortality are generally similar for women and men.

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