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Ischemic Leg Following IABP Insertion: Timing of Diagnosis and Treatment

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Difficult Decisions in Cardiothoracic Critical Care Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Lower extremity ischemia is a significant and frequent complication following intra-aortic balloon pump insertion that is well documented since the introduction of this therapy. Surgeons now encounter limb ischemia in the context of multiple mechanical circulatory support devices used for hemodynamic support in a variety of critically ill patients. The current literature is limited to reviews and case series that highlight the associated morbidity and existing experience with several management approaches. Comparisons of existing management approaches as well as high-quality prospective data are largely lacking. The objective of this chapter is to provide an up-to-date review of the evidence available to guide management of acute limb ischemia when a patient requires an intra-aortic balloon pump for circulatory support.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Theodore Hart

  2. Section of Vascular Surgery, Department of Surgery, University of Chicago, Chicago, IL, USA

    Ross Milner

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  1. Theodore Hart
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Correspondence to Ross Milner .

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Editors and Affiliations

  1. University of Chicago Medicine, Chicago, IL, USA

    Vassyl A. Lonchyna

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Hart, T., Milner, R. (2019). Ischemic Leg Following IABP Insertion: Timing of Diagnosis and Treatment. In: Lonchyna, V. (eds) Difficult Decisions in Cardiothoracic Critical Care Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-04146-5_45

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  • DOI: https://doi.org/10.1007/978-3-030-04146-5_45

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04145-8

  • Online ISBN: 978-3-030-04146-5

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