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Titolo:
Reduction in ischemic vascular complications with a hydrophilic-coated intra-aortic balloon catheter
Autore:
Winters, KJ; Smith, SC; Cohen, M; Kopistansky, C; McBride, R;
Indirizzi:
Washington Univ, Sch Med, Div Cardiovasc, St Louis, MO 63110 USA Washington Univ St Louis MO USA 63110 Cardiovasc, St Louis, MO 63110 USA Allegheny Univ Hosp Hahnemann, Div Cardiovasc, Philadelphia, PA USA Allegheny Univ Hosp Hahnemann Philadelphia PA USA , Philadelphia, PA USA Stat & Epidemiol Res Corp, Seattle, WA USA Stat & Epidemiol Res Corp Seattle WA USA emiol Res Corp, Seattle, WA USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 3, volume: 46, anno: 1999,
pagine: 357 - 362
SICI:
1522-1946(199903)46:3<357:RIIVCW>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
COUNTERPULSATION; INSERTION; PUMP; RUPTURE;
Keywords:
hydrophilic coating; intra-aortic balloon pumping; rupture; ischemia; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Winters, KJ Washingtonis,iv, Sch Med, Div Cardiovasc, Box 8086,660 S Euclid Ave, St Lou Washington Univ Box 8086,660 S Euclid Ave St Louis MO USA 63110
Citazione:
K.J. Winters et al., "Reduction in ischemic vascular complications with a hydrophilic-coated intra-aortic balloon catheter", CATHET C IN, 46(3), 1999, pp. 357-362

Abstract

Hydrophilic coatings improve the handling characteristics of angioplasty equipment, but until recently this technology has not been available for intra-aortic balloon (IAB) catheters. To determine whether a new hydrophilic coating is associated with a reduction in IAB-related complications, we prospectively evaluated 188 patients undergoing insertion of this new IAB catheter. Complications related to IAB insertion were recorded and compared to data from 682 patients previously treated with an uncoated IAB catheter of the same shaft diameter and balloon size. By multivariate analysis the hydrophilic-coated IAB catheter was associated with a 72% reduction in ischemic vascular complications (relative risk 0.28, 95% CI 0.08-0.96, P = 0.04), There were also trends toward reductions in IAB rupture and the need for vascular surgical repair for bleeding or ischemia, While further investigation is warranted, hydrophilic coatings that reduce the coefficient of friction during IAB catheter insertion may also reduce subsequent ischemic vascular complications. (C) 1999 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 06:35:45