Major determinants of survival and nonsurvival of intraaortic balloon pumping

Pi, Kaiduan; Block, Peter C.; Warner, Mary Grace; Diethrich, Edward B.

doi:10.1016/0002-8703(95)90087-x

Cited by 22 publications

(6 citation statements)

References 12 publications

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“…4 , 5 In-hospital mortality and early mortality of patients requiring IABP support is high, ranging from 26 to 50%, due to the cardiac problems that initially led to the need for this support. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Analysis of clinical outcomes of intra-aortic balloon pump use during coronary artery bypass surgery

Yümün

Aydın

Ata

et al. 2015

CVJA

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SummaryAimThe mortality rate of coronary artery bypass surgery increases with advanced patient age. This intra-aortic balloon pump (IABP) study was conducted to compare older patients (above 65 years of age) with younger patients (below 65 years of age) who had undergone coronary artery bypass surgery and had had an IABP inserted, with regard to hospital stay, clinical features, intensive care unit stay, postoperative complications, and mortality and morbidity rates.MethodsOne hundred and ninety patients who had undergone coronary artery bypass surgery and had required IABP support were enrolled in this study. Patients younger than 65 years of age were considered younger, and the others were considered older. Ninety-two patients were in younger group and 98 patients were older group. The mortality rates, pre-operative clinical characteristics, postoperative complications, and duration of intensive care unit and hospital stay of the groups were compared. The risk factors for mortality and complications were analysed.ResultsOne hundred and thirty-eight of the patients were male, and the mean age was 62.7 ± 9.9 years. The mortality rate was higher in the older patient group than the younger group [34 (37.7%) and 23 (23.4 %), respectively (p = 0.043)]. The crossclamp time, mean ejection fraction, cardiopulmonary bypass time, and length of stay in the intensive care unit were similar between the two groups (p > 0.05). Cardiopulmonary bypass time was the unique independent risk factor for mortality in both groups.ConclusionIn this study, high mortality rates in the postoperative period were similar to those in prior studies regarding IABP support. The complication rates were higher in the older patient group. Prolonged cardiopulmonary bypass time and advanced age were determined to be significant risk factors for mortality.

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Section: Introductionmentioning

confidence: 99%

Analysis of clinical outcomes of intra-aortic balloon pump use during coronary artery bypass surgery

Yümün

Aydın

Ata

et al. 2015

CVJA

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“…The hospital and also the 30-day mortality for the patients necessitating IABP is high because of the cardiac problems that led to the need for this pump, ranged from 26% to 50% [2,6,8]. …”

Section: Introductionmentioning

confidence: 99%

The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome

Parissis

Leotsinidis

Akbar

et al. 2010

J Cardiothorac Surg

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BackgroundThe early and intermediate outcome of patients requiring intraaortic balloon pump (IABP) was studied in a cohort of 2697 adult cardiac surgical patients.Methods136 patients requiring IABP (5.04%) support analysed over a 4 year period. Prospective data collection, obtained.ResultsThe overall operative mortality was 35.3%. The "operation specific" mortality was higher on the Valve population.The mortality (%) as per time of balloon insertion was: Preoperative 18.2, Intraopeartive 33.3, postoperative 58.3 (p < 0.05).The incremental risk factors for death were: Female gender (Odds Ratio (OR) = 3.87 with Confidence Intervals (CI) = 1.3-11.6), Smoking (OR = 4.88, CI = 1.23- 19.37), Preoperative Creatinine>120 (OR = 3.3, CI = 1.14-9.7), Cross Clamp time>80 min (OR = 4.16, CI = 1.73-9.98) and IABP insertion postoperatively (OR = 19.19, CI = 3.16-116.47).The incremental risk factors for the development of complications were: Poor EF (OR = 3.16, CI = 0.87-11.52), Euroscore >7 (OR = 2.99, CI = 1.14-7.88), history of PVD (OR = 4.99, CI = 1.32-18.86).The 5 years survival was 79.2% for the CABG population and 71.5% for the valve group. (Hazard ratio = 1.78, CI = 0.92-3.46).ConclusionsIABP represents a safe option of supporting the failing heart. The need for IABP especially in a high risk Valve population is associated with early unfavourable outcome, however the positive mid term results further justify its use.

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“…However, the incidence of complications, such as femoral artery injury, femoral artery thrombosis, local wound infection, peripheral embolization, limb or visceral ischemia, femoral vein cannulation, and aortic perforation or dissection, still remain as serious risks. 11 Consequently, other techniques, such as extraaortic counterpulsation, have been studied as an alternative mechanical treatment in postcardiotomy heart failure in patients with small peripheral arteries (i.e., children); arteriosclerotic or aneurysmal peripheral vessels; and diseased aortas that might be prone to obstruction, dissection, or peripheral embolization. 7,12 In 2002, we reported that JABC obtained through an extraarterial catheter balloon positioned between the ascending aorta and aortic arch and a Dacron prosthesis provided adequate circulatory support in experimental animals with induced heart failure.…”

Section: Discussionmentioning

confidence: 99%

Juxtaaortic Counterpulsation: Comparison with Intraaortic Counterpulsation in an Animal Model of Acute Heart Failure

et al. 2004

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This study was designed to compare the effects of juxtaaortic balloon counterpulsation (JABC), performed in ascending aorta and the aortic arch, with those yielded by intraaortic balloon counterpulsation (IABC) in descending aorta, in experimental animals during induced cardiac failure.JABC was achieved with a manufactured Dacron prosthesis and a balloon pump placed between the prosthesis and the wrapped aorta.JABC resulted in a significant increase of cardiac output (from 2.33 ؎ 0.82 to 2.61 ؎ 1.12 L/min, p < 0.05), cardiac index (from 0.071 ؎ 0.025 to 0.080 ؎ 0.033 L/min/kg, p < 0.05) and diastolic pressure augmentation evaluated through diastolic and systolic areas beneath the aortic pressure curve (DABAC/SABAC) index (from 0.94 ؎ 0.21 to 1.10 ؎ 0.33, p < 0.01). End diastolic aortic pressure showed a significant decrease with JABC (from 31.90 ؎ 7.09 to 27.83 ؎ 9.72 mm Hg, p < 0.05). A close association between percentage of DABAC/SABAC increases obtained with IABC and JABC was observed (r 2 ‫؍‬ 0.67; p < 0.001).Counterpulsation obtained by a juxtaaortic catheter placed in the arch and the ascending wrapped aorta results in an effective hemodynamic improvement comparable with that achieved by an intraaortic catheter in open chest sheep.

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Major determinants of survival and nonsurvival of intraaortic balloon pumping

Cited by 22 publications

References 12 publications

Analysis of clinical outcomes of intra-aortic balloon pump use during coronary artery bypass surgery

Analysis of clinical outcomes of intra-aortic balloon pump use during coronary artery bypass surgery

The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome

Juxtaaortic Counterpulsation: Comparison with Intraaortic Counterpulsation in an Animal Model of Acute Heart Failure

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