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Decreasing Incidence of Critical Limb Ischemia After Intra-aortic Balloon Pump Counterpulsation
Petra Dick,
Wolfgang Mlekusch,
Georg Delle-Karth,
Mariam Nikfardjam,
Martin Schillinger, MD*,
and
Gottfried Heinz
Department of Internal Medicine II, Division of Angiology
* To whom correspondence should be addressed. E-mail: martin.schillinger{at}meduniwien.ac.at.
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Abstract |
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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.
First published on July 3, 2008, doi:10.1177/0003319708319782
Angiology 2009;60:235.
A more recent version of this article appeared on April 1, 2009

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