Intra‐Aortic Balloon Counterpulsation for the Treatment of Myocardial Infarction Complicated by Acute Severe Heart Failure

Abstract

Intractable heart failure (HF) remains a leading fatal complication of acute myocardial infarction (AMI). Intra-aortic balloon pump (IABP) counterpulsation assists the failing left ventricle and accelerates the functional recovery of stunned myocardium. Despite its remarkable performance, the beneficial effects of the IABP in the setting of acute HF or cardiogenic shock complicating AMI have not been confirmed in a randomized clinical trial. Instead, large amounts of information have been collected in observational studies or in retrospective analyses of randomized trials of reperfusion strategies in patients with AMI. The strategy of "stabilize with IABP, treat with reperfusion, and transfer for complete revascularization" has, thus far, yielded the best outcomes, and every effort should be made to implement this strategy in all patients presenting with AMI and severe HF.

The effectiveness and safety of the Impella ventricular assist device for high‐risk percutaneous coronary interventions: A systematic review

“…The IABP has been the most frequently used ventricular assist device since its introduction in the 1960s due to its ease of insertion and use. Despite its favorable procedural characteristics, the IABP is not sufficient for some patients in severe cardiogenic shock and with a systolic aortic pressure that cannot be improved to more than 60 mmHg by vasopressors . Consequently, the TandemHeart was developed in the early 2000s.…”

“…aortic pressure that cannot be improved to more than 60 mmHg by vasopressors [2]. Consequently, the TandemHeart was developed in the early 2000s.…”

Efficacy of Subcutaneous Electrocardiogram Leads for Synchronous Timing During Chronic Counterpulsation Therapy

“…However, IABP therapy cannot be used for long-term support due to the risk of septicemia and limb ischemia due to vascular access and the requirement for patient immobility and supine positioning. 8, 10, 11 …”

Effect of Dobutamine Combined With Intra‐Aortic Balloon Counterpulsation on Left Ventricular Function Early After Acute Myocardial Infarction: Experimental Study

“…At the same time, oxygen supply increases as a result of the augmentation of coronary blood flow in diastole. Early use of IABP may decrease prospective infarct size (15)(16)(17)(18)(19)(20).…”