scholarly journals Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

2009 ◽  
Vol 17 (5) ◽  
pp. 658-663 ◽  
Author(s):  
Renata Bacelar Silva de Assis ◽  
Karina Azzolin ◽  
Marta Boaz ◽  
Eneida Rejane Rabelo
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Nursing Care ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Vascular Complications ◽  
Clinical Situation ◽  
Peripheral Vascular

OBJECTIVES: To describe complications associated to the use of intra-aortic balloon pumps (IABP), and their relationship with dwelling time, presence of risk factors/comorbidities, and nursing records. METHODS: Retrospective cohort study, in which medical records were analyzed through the completion of specifically designed forms. RESULTS: In total, 104 patients were included, with mean age 65±11 years, 52% men; 26 (25%) of them presented vascular complications, more frequently ischemia (25%); peripheral vascular disease was the risk factor/comorbidity more frequently related to complications (56.3%; p=0.003). Nursing records showed that the use of catheter was recorded in 30 cases (29%), and the patient's clinical situation after its removal in 28 cases (27%). CONCLUSION: This study showed that the frequency of complications related to IABP is high. Considering risk factor/comorbidity factors, peripheral vascular disease was significantly associated to complications. Nursing records were sub-optimal.

Comparative Histopathology of Radial Artery Versus Internal Thoracic Artery and Risk Factors for Development of Intimal Hyperplasia and Atherosclerosis

Circulation ◽  
1999 ◽  
Vol 100 (suppl_2) ◽  
Author(s):  
Permyos Ruengsakulrach ◽  
Roger Sinclair ◽  
Masashi Komeda ◽  
Jai Raman ◽  
Ian Gordon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Radial Artery ◽  
Morphometric Analysis ◽  
Intimal Hyperplasia ◽  
Internal Thoracic Artery ◽  
Peripheral Vascular ◽  
Luminal Narrowing ◽  
Intimal Thickness

Background —In this study, we examined the comparative histopathology, morphometry, and risk factors for the development of intimal hyperplasia and atherosclerosis in the radial artery (RA) and the internal thoracic artery (ITA). Methods and Results —Paired specimens of RAs and ITAs, obtained from 150 patients who underwent CABG, were evaluated with histopathology; 110 pairs of arteries were suitable for morphometric analysis. The severity of disease was evaluated on the basis of percentage of luminal narrowing, intimal thickness index, and intima-to-media ratio. Risk factors were determined with stepwise linear regression. Intimal hyperplasia was seen in 141 RAs (94%) and 103 ITAs (69%) ( P <0.001). Atherosclerosis was seen in 5% of RAs and 0.7% of ITAs ( P =0.04). Medial calcification was found only in RAs (20 of 150, 13.3%) ( P <0.001). Morphometric analysis showed that compared with ITAs, RAs had a significantly higher intimal area, medial area, percentage of luminal narrowing, intimal thickness index, and intima-to-media ratio (all P <0.001) Factors found to be significant ( P <0.05) predictors of the 3 severity indices of intimal hyperplasia, including atherosclerosis, in RAs were peripheral vascular disease, smoking, age, and diabetes. Risk factors for intimal hyperplasia in ITAs were age and smoking. Conclusions —The RA is more likely to have atherosclerosis, intimal hyperplasia, and medial calcification than the ITA. Morphometric analysis indices showed marked differences between the RA and the ITA. Care should be taken when selecting the RA as a conduit in CABG, particularly in patients who are elderly, diabetic, smoke, or have peripheral vascular disease.

scholarly journals Pseudoexfoliation as a risk factor for peripheral vascular disease: a case-control study

Eye ◽  
2010 ◽  
Vol 25 (2) ◽  
pp. 174-179 ◽  
Author(s):  
M R Praveen ◽  
S K Shah ◽  
A R Vasavada ◽  
R P Diwan ◽  
S M Shah ◽  
...  
Keyword(s):  
Risk Factor ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Case Control Study ◽  
Case Control ◽  
Peripheral Vascular ◽  
Control Study

scholarly journals Study of 89 Cases of Peripheral Vascular Disease by CT Angiography in a Centre of Bangladesh

1970 ◽  
Vol 1 (2) ◽  
pp. 193-200
Author(s):  
M Faruque ◽  
AEMM Islam ◽  
S Haque ◽  
MT Islam ◽  
MG Kibria ◽  
...  
Keyword(s):  
Risk Factor ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Ct Angiography ◽  
Disease Risk ◽  
Venous Malformation ◽  
Peripheral Vascular ◽  
Morphological Pattern ◽  
Noninvasive Technique ◽  
Ct Angiogram

Background: The peripheral arterial disease generally refers to a disorder that obstructs the blood supply to upper and lower extremities, most commonly caused by atherosclerosis. Objective: The purpose of this study was to observe the morphological pattern and risk factors for development of peripheral vascular disease in Bangladeshi patients suffering from peripheral vascular disease by CT angiography using a multidetector scanner. Method: Eighty nine patients with peripheral vascular disease who were referred for evaluation of peripheral vascular disease underwent CT angiography. We scanned patients from the level of the cerebral arteries to the pedal arteries in a single helical scan. CT angiograms were produced using maximum-intensity-projection, multiplanous reformation and reconstructions. Findings were graded according to nine categories: 1, normal (0% stenosis); 2, mild (1-49% stenosis); 3, moderate (50-74% stenosis); 4, severe (>75% stenosis); 5, tortuosity; 6, aneurysm, 7, calcification, 8, Arteriovenous malformation (AVM), and 9, haematoma. Results: We found Most of the patients in our study were male (69 out of 89 patients). The mean age was 54.49 ±18.36 yrs in male and 49.45 ±17.89 yrs for female. Commonest risk factor in our study was hypertension 46.1%, followed by diabetes 30.3%, family history 27%, smoking 23.6%, dyslipidaemia13.5%. Stenosis (5.61%) was the predominate lesion followed by haematoma (4.49%) and arterio–venous malformation (4.49%). Abdominal aorta was mostly affected in the studied population (58.43%) followed by Lower limb (37.08%), Carotid (22.47%), Renal (7.87%) and Upper limb arteries (4.49%). Conclusion: CT angiography is a noninvasive technique for the imaging of peripheral vascular disease. Since no data is available from a well designed study in PVD in our country, till then the data obtained from this study can be used in Bangladesh. Key words: CT angiogram, Peripheral vascular disease, Risk factor DOI: http://dx.doi.org/10.3329/cardio.v1i2.8238 Cardiovasc. j. 2009; 1(2): 193-200

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