Copyright © 1984 by the European Society of Cardiology.
© 1984 The European Society of Cardiology
Intra-aortic balloon pumping in the elderly: percutaneous versus surgical catheter insertion
*Institute of Gerontology, University of Florence Florence
Department of Cardiology Verona, Italy
Received 2 August 1983; revised 16 September 1983; .
Requests for reprints to: N. Marchionni, MD. Institute of Gerontology, Intensive Care Unit, University of Florence, Viale Pieraccini, 18, 50139, Florence, Italy
Abstract
The feasibility and safety of percutaneous versus surgical intra-aortic balloon pumping (IABP) in the elderly were evaluated in 45 patients who were over 65 years of age (range 65–79). All the patients required counterpulsation for complicated acute myocardial infarction. IABP insertion was attempted by the surgical technique in 22 patients, while the percutaneous approach was performed in 23.
A consistent improvement in the incidence rale of successful insertion was attained with the use of the percutaneous technique as compared with the surgical one (91.3% v. 59.1%, P<005). Furthermore, no major complication was observed with the percutaneous catheter, while a 9.1% (2/22) incidence rate of serious complications was reported with the surgical technique. Thus, percutaneous IABP substantially decreased the unsuccessful insertions and the risk of severe complications in old patients, despite presumably severe aorto-iliac disease. No specifically age-related technical problem seems, therefore, to limit the applicability of intra-aortic counterpulsation to elderly patients, when percutaneous IABP is employed.
Key Words: myocardial infarction • intra-aortic balloon counterpulsation • aged