RESUMO
The intra-aortic balloon pump (IABP) is the gold standard for the mechanical assistance of failing heart. Balloon rupture is a potential complication that may result in a retained device. The operative removal by direct exposure of the femoral vessels has previously been described. We report the case of a retained IABP requiring laparotomy and direct aortic exposure for removal of the device.
Assuntos
Balão Intra-Aórtico , Idoso , Falha de Equipamento , Humanos , Balão Intra-Aórtico/efeitos adversos , Balão Intra-Aórtico/instrumentação , Laparotomia , MasculinoRESUMO
The present study reports upon a standard behavior therapy treatment package applied to three clinically referred cohabitating couples. Multidimensional assessment measures included reports by self, partner, and external observers of couples' interactions. Moreover, a multiple-baseline design across couples was employed as a means of evaluating treatment efficacy. Therapy involved the weekly administration of bibliotherapy and exercise material, with therapist contact purposely minimized. An analysis of results indicates modest treatment success with considerable between-subject variability. These findings are discussed with regard to gender differences, ceiling effects, and utilization of standardized therapy packages. Recommendations are made for future behavioral cohabitation research.
