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Decreasing Incidence of Critical Limb Ischemia After Intra-aortic Balloon Pump Counterpulsation

Department of Angiology, Medical University of Vienna, Vienna, Austria

Wolfgang Mlekusch, MD

Department of Angiology, Medical University of Vienna, Vienna, Austria

Georg Delle-Karth, MD

Department of Cardiology, Medical University of Vienna, Vienna, Austria

Mariam Nikfardjam, MD

Department of Cardiology, Medical University of Vienna, Vienna, Austria

Martin Schillinger, MD

Department of Angiology, Medical University of Vienna, Vienna, Austria, martin.schillinger{at}meduniwien.ac.at

Gottfried Heinz, MD

Department of Angiology, Medical University of Vienna, Vienna, Austria

The authors investigated the incidence of critical limb ischemia (CLI) in 187 patients with intra-aortic balloon pump (IABP) support during a 6-year study period and determined risk factors and long-term outcome (median 5 years) after discharge from a cardiac intensive care unit. Cardiogenic shock following acute myocardial infarction was the predominant cause of IABP support. CLI occurred in 10% of the patients after IABP implantation. Nevertheless, in light of the overall high mortality in this patient population, CLI seems not a primary concern. Furthermore, its incidence significantly decreased during recent years. Duration of IABP support was a significant predictor for CLI.

Key Words: critical limb ischemia • intra-aortic counterpulsation • heart failure • IABP • intensive care unit

This version was published on April 1, 2009

Angiology, Vol. 60, No. 2, 235-241 (2009)
DOI: 10.1177/0003319708319782


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