The intra-aortic balloon pump, a novel addition to staged repair of combined symptomatic cerebrovascular and coronary artery disease

Stuart I. Myers, R. James Valentine, Aaron Estrera, G. Patrick Clagett

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Five patients with severe symptomatic carotid and coronary artery disease were treated with staged carotid endarterectomy and coronary artery bypass grafting (CABG) under the protection of an intra-aortic balloon pump (IABP) over a 56-month period. All patients presented with unstable angina and multiple ipsilateral transient ischemic attacks. Two of the four patients had four previous myocardial infarctions. Arteriography demonstrated three-vessel coronary artery disease and 80% to 95% stenosis of the ipsilateral internal carotid artery in all patients. An IABP was placed prior to uneventful carotid endarterectomy performed with vein patch angioplasty (three patients) or primary closure (two patients) under general anesthesia. All five patients had remarkably stable blood pressure and cardiac outputs while on the IABP. Twenty-four hours after carotid endarterectomy the patients underwent uneventful CABG of three or more vessels. No complications occurred with either surgical procedure. One patient required femoral embolectomy and repair of a small false femoral aneurysm following removal of the IABP. All patients were discharged home 7 to 13 days after CABG. This initial report suggests that IABP can be used safely in staged operations for carefully selected patients with unstable angina and severe symptomatic carotid artery disease.

Original languageEnglish (US)
Pages (from-to)239-242
Number of pages4
JournalAnnals of Vascular Surgery
Volume7
Issue number3
DOIs
StatePublished - May 1993

Fingerprint

Coronary Artery Disease
Carotid Endarterectomy
Coronary Artery Bypass
Carotid Artery Diseases
Unstable Angina
Thigh
Embolectomy
Carotid Stenosis
False Aneurysm
Transient Ischemic Attack
Angioplasty
Carotid Arteries
Cardiac Output
General Anesthesia
Veins
Angiography
Myocardial Infarction
Blood Pressure

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

The intra-aortic balloon pump, a novel addition to staged repair of combined symptomatic cerebrovascular and coronary artery disease. / Myers, Stuart I.; Valentine, R. James; Estrera, Aaron; Clagett, G. Patrick.

In: Annals of Vascular Surgery, Vol. 7, No. 3, 05.1993, p. 239-242.

Research output: Contribution to journalArticle

Myers, Stuart I. ; Valentine, R. James ; Estrera, Aaron ; Clagett, G. Patrick. / The intra-aortic balloon pump, a novel addition to staged repair of combined symptomatic cerebrovascular and coronary artery disease. In: Annals of Vascular Surgery. 1993 ; Vol. 7, No. 3. pp. 239-242.
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