Surgical Removal of Intra-Aortic Balloon Cathetet With Fractured Nitinol Central Lumen : A Case Report
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概要
- 論文の詳細を見る
A 73-year-old woman suffering from septic shock was given circulatory assistance by intra-aortic balloon pumping (IABP). Eleven hours later, pumping stopped abruptly and blood reflux was observed in the intra-aortic balloon catheter (IABC). We removed it and inserted another IABC; 3.5h later, pumping stopped again and blood reflux was seen. Removal of the IABC was attempted, as the systolic aortic pressure remained above 100mmHg, but there was resistance during the removal and as a result 7.5cm of the catheter from the tip remained inside the vessel. Fluoroscopy indicated that the metal tube that formed the central lumen in the balloon was fractured, and that its edge had perforated the femoral artery. The balloon was then removed surgically. Fracture of the metal tube and balloon perforation were confirmed in both the damaged IABCs. Postoperative computed tomography and magnetic resonance imaging indicated a highly severe posterior-anterior bend in the patient's aorta. A vessel model similar to the aorta in this case was made and a reproducibility test was conducted; the central lumen fractured within 3h and under a microscope the profile of the fractured test lumen was similar to the one in the clinical case. These findings suggest that placing a pumping IABC in a bending aorta causes fracture of the central lumen from fatigue failure because the central lumen is under excessive stress.
- 社団法人日本循環器学会の論文
- 2002-03-20
著者
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Shiga Koji
AMI-Kyoto Multi-Center Risk Study Group
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Takada H
Department Of Cardiology Asahi University Murakami Memorial Hospital
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Takata Hiroki
京都府立医科大学 循環器内科
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Takada Hiroki
朝日大学附属村上記念病院 循環器科
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Sugihara H
Department Of Cardiology Matsushita Memorial Hosipital
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Zen Kan
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Azuma A
Department Of Cardiology National Shiga Hospital
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Azuma Akihiro
Second Department of Medicine, Kyoto Prefectural University of Medicine
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SUGIHARA Hiroki
Second Department of Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan
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Katoh S
Ami-kyoto Multi-center Risk Study Group
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Nakagawa Masao
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Takada H
Maizuru Medical Center
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Ito Kazuki
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Zen Kan
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Tanabe Takuji
Department of Pathology and Cell Regulation, Kyoto Prefectural Univesity of Medicine
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Tanabe Takuji
Department Of Cardiology Murakami Memorial Hospital Asahi University
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Tanabe Takuji
朝日大学附属村上記念病院 循環器内科
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Takuji Tanabe
朝日大学附属村上記念病院 循環器内科
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Ito Kazuki
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Ito Kazuki
Department Of Cardiology Inuyama Chuuou Hospital
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Shiga Koji
Depertment Of Medicine Meiji University Of Oriental Medicine
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Adachi Yoshihiko
Department of Cardiology, Asahi University Murakami Memorial Hospital
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Hikosaka Takato
Department of Cardiology, Murakami Memorial Hospital, Asahi University
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Kato Shyuji
Department of Cardiology, Murakami Memorial Hospital, Asahi University
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Azuma Aklhiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Azuma Akihiro
The Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Sugihara Hiroki
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Shimoo Kazutoshi
Depertment of Medicine Meiji University of Oriental Medicine
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SHIRAISHI Hirokazu
the Kyoto Prefectural Yosanoumi Hospital
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Hikosaka Takatoh
Maizuru Medical Center
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Ishibashi Kazuya
Kyoto AMI Research Group
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Nakagawa M
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Adachi Yoshihiko
Division Of Cardiovascular Medicine Murakami Memorial Hospital Asahi University
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Ito K
Department Of Brain Science And Molecular Imaging National Institute For Longevity Science National
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Shiraishi Hirokazu
京都府立与謝の海病院
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Hirasaki Satoshi
Department Of Cardioology Matsushita Memorial Hospital
-
Azuma Akihiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Hikosaka Takato
Department Of Cardiology Asahi University Murakami Memorial Hospital
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural Medical College
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AZUMA Akihiro
Second Department of Medicine and, Kyoto Prefectural University of Medicine
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