IABP駆動下CCU間搬送後手術例4例の検討  各種IABPの比較検討

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  • Interhospital transportation of critical coronary patients with ongoing intraaortic balloon pumping.

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During the last two years, 4 critical coronary patients undergoing continuous intraaortic balloon pumping (IABP) were transferred to our hospital and underwent emergency cardiac operation. Three patients (1 with acute papillary muscle rupture of 72 years old female and 1 with acute postinfarction ventricular septal perforation of 80 years old female and 1 with postinfarction angina not controlled on medications and IABP complicating left heart failure of 65 years old female) were taken to the operating room shortly after administration and survived. Only 1 patient of old anterior and inferior infarction with unstable angina complicating 14% LVEF died. The transport time was 20 min, 15 min, 3 hours and 15 min respectively, and used instruments were Datascope system 83M in 2, Aries Model-700 in 1 and Kontron Model-10 in 1. The characteristics concerning transportation of currently available 10 types of IABP (Kontron Model-10, K2000, KAAT, Datascope system 83, 83M, 84A, 90, Aries Model-700, Mansfield Model 1300i, 1300m) was compared. The weight was miniaturized from 170.5kg (Kontron Model-10) to 42.5kg (KAAT) but allowance time of internal battery was limited around one hour. So at the time of long distant transportation, outer energy power such as auxiliary battery, AC inverter (from ambulance car or airplane) or portable generator is need. Among them, we considered the use of AC inverter is most practical.

収録刊行物

  • 人工臓器

    人工臓器 16 (1), 139-143, 1987

    一般社団法人 日本人工臓器学会

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