Case Report: USE OF INTRA-AORTIC BALLOON PUMP (IABP) IN HIGH-RISK PERCUTANEOUS CORONARY INTERVENTION PROCEDURE

Abstract

Intra-aortic balloon pump (IABP) is often used in patients who undergo high risk percutaneous coronary intervention (PCI) procedures, particularly if associated with hemodynamic impairment. However, this device is still underused in this center. In this case report, a 65-year old male patient with triple vessel disease (chronic total occluded left anterior descending artery-LAD, and significant stenoses of left circumflex and right coronary arteries), low ejection fraction and preprocedure blood pressure, was reported to have IABP support applied before PCI. The intervention to penetrate the occluded LAD was not success. After procedure, the patient was observed in intensive care unit. Weaning of IABP was performed after about 30 hours usage, without complication.

Use of Intra-Aortic Balloon Pump (IABP) in Patient with Ventricular Septal Rupture

“…However, this mechanism causes the shunt flow to be more robust. If it lasts for a long time, the left ventricle can experience pump failure so that the systolic pressure will decrease (Moreyra et al, 2010) The main indication for placing the IABP is for hemodynamic support and stabilization, while the most common place for placing the IABP is in the catheterization laboratory (Oktaviono, 2016). VSR is an infrequent complication of acute myocardial infarction, often occurs with cardiogenic shock, and is associated with high in-hospital mortality, despite prompt intervention.…”

“…Although urgent surgery is recommended for patients who cannot be effectively stabilized, the ideal timing of intervention is controversial, and mechanical circulatory support (MCS) such as IABP allows hemodynamic stabilization and delays definitive intervention even in critically ill patients (Ronco et al, 2021). Moreover, deaths related to IABP are around 0.05% (Oktaviono, 2016). the patient has atrial fibrillation, the IABP machine analyzes the QRS complex for time deflation with R waves, whether positively or negatively deflected (Webb et al, 2015).…”