Intraaortic balloon pumping in patients requiring cardiac operations

Naunheim, Keith S.; Swartz, Marc T.; Pennington, D. Glenn; Fiore, Andrew C.; McBride, Lawrence R.; Peigh, Pamela S.; Barnett, Mark G.; Vaca, Kathy J.; Kaiser, George C.; Willman, Vallee L.

doi:10.1016/s0022-5223(19)33897-8

Cited by 63 publications

(28 citation statements)

References 14 publications

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“…The patients who get more than 12 points in EuroSCORE cannot get good results because of their low cardiac output and delicate left ventricular function. Therefore, the usage of an intra-aortic balloon pump (IABP) is essential for coronary surgical patients in the perioperative period [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Preventive Use of Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Coronary Artery Bypass Grafting: A Retrospective Study

et al. 2015

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BackgroundCoronary artery bypass grafting (CABG) is an important therapeutic measure for CHD patients. The patients who score more than 12 EuroSCORE points cannot achieve good results because of their low cardiac output and delicate left ventricular function. Therefore, use of an intra-aortic balloon pump (IABP) is essential for coronary surgical patients in the peri-operative period. At present, there is no unified standard about when to insert an IABP. This study aimed to compare the short-term clinical outcomes of the IABP inserted in the preoperative condition with its use in the emergency condition for extremely high-risk patients.Material/MethodsIABP support time, respirator support time, and ICU stay time were significantly shorter (all p<0.05) in the preoperative IABP group compared to the emergency IABP group, and the rates of low cardiac output syndrome (LCOS), acute myocardial infarction, and acute kidney injury in the preoperative group were also significantly lower in the preoperative IABP group (all p<0.05). There were no significant differences in IABP-related complications and the mortality (p=0.106) between two groups.ResultsCompared to the emergency IABP group, the IABP support time, respirator support time and ICU stay time were significantly lower in the preoperative IABP group (all p<0.05), and the rates of LCOS, acute myocardial infarction, and acute kidney injury in the preoperative group were also significantly lower (all p<0.05). There were no significant differences in IABP-related complications and the mortality (p=0.106) between the 2 groups.ConclusionsFor high-risk patients with CABG, preoperative IABP insertion is a safe and effective measure.

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Section: Introductionmentioning

confidence: 99%

Preventive Use of Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Coronary Artery Bypass Grafting: A Retrospective Study

et al. 2015

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“…Vascular ischemic complications are reported at a rate of 8 to 18% in the literature. [3][4][5][6][7][8][9] A number of methods and procedures have been proposed to decrease the rate of vascular ischemic complications such as sheathless insertion technique. 7 In the last decade, sheathless IABP catheter insertion technique transcutaneously via the femoral artery has become more popular.…”

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confidence: 99%

In Which Patients Should Sheathless IABP be Used? An Analysis of Vascular Complications in 1211 Cases

Erdoğan¹,

Göksedef²,

Erentuğ³

et al. 2006

J Cardiac Surgery

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“…Advances in IABP catheter availability, design, and insertion technique have led to its widespread use with a 17 to 67% survival rate reported for adult IABP patients depending on the indications for use (13–15). Although this rate of survival in critically ill patients is commendable, it also indicates that there remains the opportunity to improve the efficacy of IABP therapy.…”

Section: Discussionmentioning

confidence: 99%

Intraaortic Balloon Pump Timing Discrepancies in Adult Patients

et al. 2011

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The objective of this clinical study was to quantify the incidence and magnitude of intraaortic balloon pump (IABP) inflation and deflation landmark discrepancies associated with the IABP catheter arterial pressure waveform. Cardiac surgery patients with an IABP inserted prior to surgery were recruited. Following cardiac exposure, a high-fidelity pressure catheter was inserted into the aortic root for digital recording. The radial artery pressure signal was simultaneously recorded from the patient monitor along with the arterial pressure and electrocardiogram waveforms from the IABP console while operating at 1:1 and 1:2 synchronization. In selected patients, recordings were obtained with the IABP timed to the high-fidelity aortic root waveform. In all 11 patients, inflation and deflation landmark delays were observed when comparing the aortic root waveforms to the IABP arterial pressure waveforms (inflation delay = 74 ± 29 [23-117] ms; deflation delay = 71 ± 37 [24-141] ms, mean ± standard deviation [min-max]). Delays were greater when compared to the radial artery waveform (inflation delay = 175 ± 50 [100-233] ms; deflation delay = 168 ± 52 [100-274] ms). In all cases, the landmark delays were statistically different from zero (P < 0.001). Diastolic augmentation and afterload reduction varied with waveform source. Conflicting indications of afterload reduction occurred in four patients. Timing to the aortic root waveform resulted in greater diastolic pressure augmentation and afterload reduction but mixed changes in stroke volume. Delay and distortion of the arterial waveform was consistently found when measured through the IABP catheter lumen. These delays can alter IABP efficacy and may be eliminated by using high-fidelity sensing of aortic pressure.

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Intraaortic balloon pumping in patients requiring cardiac operations

Cited by 63 publications

References 14 publications

Preventive Use of Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Coronary Artery Bypass Grafting: A Retrospective Study

Preventive Use of Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Coronary Artery Bypass Grafting: A Retrospective Study

In Which Patients Should Sheathless IABP be Used? An Analysis of Vascular Complications in 1211 Cases

Intraaortic Balloon Pump Timing Discrepancies in Adult Patients

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