Implante cirúrgico do balão intra-aórtico: uso de uma nova técnica

Almeida, Rui Manoel de Souza Sequeira A. de; Ferreira, Maria João Amorim; Edison José, Ribeiro; Loures, Danton R. da Rocha

doi:10.1590/S0102-76381996000300012

Resumos

É descrita uma nova técnica para contrapulsação intra-aórtica, por dissecção cirúrgica da artéria femoral, e introdução do balão intra-aórtico através de um segmento de veia safena. A remoção do balão evita a realização de nova incisão cirúrgica, diminui as causas de obstrução das artérias e a infecção de ferida cirúrgica. Foi estudada a evolução de 18 pacientes operados.

Balão intra-aórtico; Balão intra-aórtico; Artéria femoral; Veia safena; Contrapulsação; Circulação assistida

This paper describes a new technique for insertion and removal of intra-aortique balloon trough a segment of saphenous vein. The balloon's removal is accomplished without a new surgical intervention, which decreases many complications. The authors studied the evolution of 18 patients operated on with this new technique.

Intra-aortic balloon; Intra-aortic balloon; Femoral artery; Saphenous vein; Counterpulsation; Assisted circulation

ARTIGOS ORIGINAIS

Implante cirúrgico do balão intra-aórtico: uso de uma nova técnica

Surgical insertion of intra-aortic ballon: a new technique

Rui Manoel de Souza Sequeira A. de Almeida; Maria João Amorim Ferreira; Edison José Ribeiro; Danton R. da Rocha Loures

Do Instituto de Moléstias Cardiovasculares de Cascavel e do Hospital Evangélico de Curitiba

^{Endereço para correspondência} Endereço para correspondência: Rui Manuel Sequeira de Almeida Instituto de Moléstias Cardiovasculares de Cascavel. Policlínica de Cascavel Rua Maranhão, 945 Cascavel, PR, Brasil. CEP 85.806-050

RESUMO

É descrita uma nova técnica para contrapulsação intra-aórtica, por dissecção cirúrgica da artéria femoral, e introdução do balão intra-aórtico através de um segmento de veia safena. A remoção do balão evita a realização de nova incisão cirúrgica, diminui as causas de obstrução das artérias e a infecção de ferida cirúrgica. Foi estudada a evolução de 18 pacientes operados.

Descritores: Balão intra-aórtico, métodos. Balão intra-aórtico, efeitos. Artéria femoral, cirurgia. Veia safena, cirurgia. Contrapulsação, aórtica. Circulação assistida, métodos.

ABSTRACT

This paper describes a new technique for insertion and removal of intra-aortique balloon trough a segment of saphenous vein. The balloon's removal is accomplished without a new surgical intervention, which decreases many complications. The authors studied the evolution of 18 patients operated on with this new technique.

Descriptors: Intra-aortic balloon, methods. Intra-aortic balloon, effects. Femoral artery, surgery. Saphenous vein, surgery. Counterpulsation, aortic. Assisted circulation, methods.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido para publicação em julho de 1996.

Trabalho realizado nos Serviços de Cirurgia Cardiovascular do Instituto de Moléstias Cardiovasculares de Cascavel e do Hospital Evangélico de Curitiba, PR. Brasil.

1 Moulopolous S D, Topaz W, Kolpp W J - Diastolic balloon pumping (with carbon dioxide) in the aorta: a mechanical assistance to failing circulation. Am Heart J 1962; 63: 669-75.
2 Clauss R M, Missier P, Reed G F, Tice D - Assisted circulation by counterpulsation with an intra-aortic balloon: methods and affects. In: Digest.15 th Annual Conference on Engineering in Medicine and Biology. Chicago: Northwestern University, 1962: 44.
3 Kantrowitz A, Akutsu T, Chaptal P A, Krakauer J, James R T - A clinical experience with an implanted mechanical auxiliary ventricle. JAMA 1966; 197: 525-9.
4 Scheldt S, Wilner G, Mueller H et al. - Intra-aortic balloon counterpulsation in cardiogenic shock: report of a cooperative clinical trial. N Engl J Med 1973; 288: 979-84.
5 Naunheim K S, Swartz M T, Pennington D G - Intra-aortic balloon pumping in patients requiring cardiac operations: risk analysis and longterm follow-up. J Thorac Cardiovasc Surg 1992; 104: 1654-61.
6 Figulla H R - Circulatory support devices in clinical cardiology: current concepts. Cardiology 1994; 84: 149-55.
7 Corral C H & Vaughn C C - Intra-aortic balloon counter-pulsation: an eleven-year review and analysis of determinants of survival. Texas Heart Inst J 1986; 13: 39-44.
8 Di Lello F, Mullen D C, Flemma R J, Anderson A J, Kleinman L H - Results of intra-aortic balloon pumping after cardiac surgery: experience with the Percor balloon catheter. Ann Thorac Surg 1988; 46: 442-6.
9 Goldman B S, Hill T J, Rosenthal G A, Scully H E, Weisel R D, Baird R J - Complications associated with use of the intra-aortic balloon pump. Can J Surg 1982; 25: 153-6.
10 Hauser A M, Gordon S, Gangadharan V et al. - Percutaneous intra-aortic balloon counterpulsation: clinical effectiveness and hazards. Chest 1982; 82:422-5.
11 Michels R, Haalebos M, Kint P P, Hagemeijer F, Balkumaran K, Van Der Brand M - Intra-aortic balloon pumping in myocardial infarction and unstable angina. Eur Heart J 1980; 1: 31-43.
12 Sturn J T, McGee M G, Fuhrman T M et al. - Treatment of postoperative low output syndrome with intra-aortic balloon pumping experience with 419 patients. Am J Cardiol 1980; 45: 1033-6.
13 Bregman D, Nichols A B, Weiss M B, Powers E R, Martin E C, Cassarela W J - Percutaneous intra-aortic balloon insertion. Am J Cardiol 1980; 46: 261-7.
14 Subramanian V A, Goldstein J E, Sos T A, McCabe J C, Hoover E A, Gay W A - Preliminary clinical experience with percutaneous intra-aortic balloon pumping. Circulation 1980; 62 (Suppl 1): 123-9.
15 Seldinger S I - Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol (Stockholm) 1953; 39: 368-70.
16 Robicsek F, Masters T N, Rice H, Morency R P - Enhancing the applicability and effectiveness of intra-aortic balloon counterpulsation. J Card Surg 1990; 5: 321-7.
17 Zada F, McCabe J C, Subramanian V A - Simplified technique for intra-aortic balloon insertion. Ann Thorac Surg 1980; 29: 573-4.
18 Payne D D, Sewell D H, Amato J J, Faraci P A, Rheinlander H F, Cleveland R J - Transverse femoral arteriotomy for intra-aortic balloon insertion. Ann Thorac Surg 1978; 26: 263-5.
19 Cutler B S, Okike N O, Salm T J V - Surgical versus pencutaneous removal of the intra-aortic balloon. J Thorac Cardiovasc Surg 1983; 86: 907-11.
20 Yuen J C - Percutaneous intra-aortic balloon pump: emphasis on complications. South Med J 1991; 84: 956-60.
21 Rohrer M J, Sullivan C A, McLaughlin D J, Cutler B S - A prospective randomized study comparing surgical and pencutaneous removal of the intra-aortic balloon pump. J Thorac Cardiovasc Surg 1992; 103: 569-72.
22 Shahian D M, Neptune W B, Ellis Jr F H, Maggs P R - Intra-aortic balloon pump morbidity: a comparative analysis of risck factors between percutaneous and surgical techniques. Ann Thorac Surg 1983; 36: 644-53.

Endereço para correspondência:

Rui Manuel Sequeira de Almeida

Instituto de Moléstias Cardiovasculares de Cascavel. Policlínica de Cascavel

Rua Maranhão, 945

Cascavel, PR, Brasil. CEP 85.806-050

Datas de Publicação

Publicação nesta coleção
07 Dez 2010
Data do Fascículo
Set 1996

Histórico

Recebido
Jul 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1 Moulopolous S D, Topaz W, Kolpp W J - Diastolic balloon pumping (with carbon dioxide) in the aorta: a mechanical assistance to failing circulation. Am Heart J 1962; 63: 669-75.

[2] 2 Clauss R M, Missier P, Reed G F, Tice D - Assisted circulation by counterpulsation with an intra-aortic balloon: methods and affects. In: Digest.15 th Annual Conference on Engineering in Medicine and Biology. Chicago: Northwestern University, 1962: 44.

[3] 3 Kantrowitz A, Akutsu T, Chaptal P A, Krakauer J, James R T - A clinical experience with an implanted mechanical auxiliary ventricle. JAMA 1966; 197: 525-9.

[4] 4 Scheldt S, Wilner G, Mueller H et al. - Intra-aortic balloon counterpulsation in cardiogenic shock: report of a cooperative clinical trial. N Engl J Med 1973; 288: 979-84.

[5] 5 Naunheim K S, Swartz M T, Pennington D G - Intra-aortic balloon pumping in patients requiring cardiac operations: risk analysis and longterm follow-up. J Thorac Cardiovasc Surg 1992; 104: 1654-61.

[6] 6 Figulla H R - Circulatory support devices in clinical cardiology: current concepts. Cardiology 1994; 84: 149-55.

[7] 7 Corral C H & Vaughn C C - Intra-aortic balloon counter-pulsation: an eleven-year review and analysis of determinants of survival. Texas Heart Inst J 1986; 13: 39-44.

[8] 8 Di Lello F, Mullen D C, Flemma R J, Anderson A J, Kleinman L H - Results of intra-aortic balloon pumping after cardiac surgery: experience with the Percor balloon catheter. Ann Thorac Surg 1988; 46: 442-6.

[9] 9 Goldman B S, Hill T J, Rosenthal G A, Scully H E, Weisel R D, Baird R J - Complications associated with use of the intra-aortic balloon pump. Can J Surg 1982; 25: 153-6.

[10] 10 Hauser A M, Gordon S, Gangadharan V et al. - Percutaneous intra-aortic balloon counterpulsation: clinical effectiveness and hazards. Chest 1982; 82:422-5.

[11] 11 Michels R, Haalebos M, Kint P P, Hagemeijer F, Balkumaran K, Van Der Brand M - Intra-aortic balloon pumping in myocardial infarction and unstable angina. Eur Heart J 1980; 1: 31-43.

[12] 12 Sturn J T, McGee M G, Fuhrman T M et al. - Treatment of postoperative low output syndrome with intra-aortic balloon pumping experience with 419 patients. Am J Cardiol 1980; 45: 1033-6.

[13] 13 Bregman D, Nichols A B, Weiss M B, Powers E R, Martin E C, Cassarela W J - Percutaneous intra-aortic balloon insertion. Am J Cardiol 1980; 46: 261-7.

[14] 14 Subramanian V A, Goldstein J E, Sos T A, McCabe J C, Hoover E A, Gay W A - Preliminary clinical experience with percutaneous intra-aortic balloon pumping. Circulation 1980; 62 (Suppl 1): 123-9.

[15] 15 Seldinger S I - Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol (Stockholm) 1953; 39: 368-70.

[16] 16 Robicsek F, Masters T N, Rice H, Morency R P - Enhancing the applicability and effectiveness of intra-aortic balloon counterpulsation. J Card Surg 1990; 5: 321-7.

[17] 17 Zada F, McCabe J C, Subramanian V A - Simplified technique for intra-aortic balloon insertion. Ann Thorac Surg 1980; 29: 573-4.

[18] 18 Payne D D, Sewell D H, Amato J J, Faraci P A, Rheinlander H F, Cleveland R J - Transverse femoral arteriotomy for intra-aortic balloon insertion. Ann Thorac Surg 1978; 26: 263-5.

[19] 19 Cutler B S, Okike N O, Salm T J V - Surgical versus pencutaneous removal of the intra-aortic balloon. J Thorac Cardiovasc Surg 1983; 86: 907-11.

[20] 20 Yuen J C - Percutaneous intra-aortic balloon pump: emphasis on complications. South Med J 1991; 84: 956-60.

[21] 21 Rohrer M J, Sullivan C A, McLaughlin D J, Cutler B S - A prospective randomized study comparing surgical and pencutaneous removal of the intra-aortic balloon pump. J Thorac Cardiovasc Surg 1992; 103: 569-72.

[22] 22 Shahian D M, Neptune W B, Ellis Jr F H, Maggs P R - Intra-aortic balloon pump morbidity: a comparative analysis of risck factors between percutaneous and surgical techniques. Ann Thorac Surg 1983; 36: 644-53.