Single-Centre Experience with Perioperative Use of Intraaortic Balloon Pump in Cardiac Surgery

Küçüker, Aslıhan; Çetín, Levent; Küçüker, Şeref Alp; Gökçimen, Mecit; Hidiroğlu, Mete; Kunt, Ayşegül; Sağlam, Fethi; Şener, Erol

doi:10.1016/j.hlc.2013.11.005

Cited by 13 publications

(9 citation statements)

References 22 publications

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“…One feature of these studies was a very high cross-over rate from the control group to treatment with IABP (pooled crossover rate of 51%). Along with the generally observed poor outcomes for CABG patients who receive a late IABP [44,45], this supports the upfront use of counterpulsation in high-risk patients going forward for CABG.…”

Section: Cardiac Surgerysupporting

confidence: 55%

Intra-Aortic Balloon Counterpulsation in Contemporary Practice – Where Are We?

White

Ruygrok

2015

Heart, Lung and Circulation

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Section: Cardiac Surgerysupporting

confidence: 55%

Intra-Aortic Balloon Counterpulsation in Contemporary Practice – Where Are We?

White

Ruygrok

2015

Heart, Lung and Circulation

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“…The use of IABP for VSD complicating MI has demonstrated benefit in a number of studies. IABP provides afterload reduction for the left ventricle, increased diastolic perfusion of coronary arteries, and decreases left to right shunting . In many instances, the use of early IABP combined with judicious inotropic support is sufficient to temporize patients until definitive surgical repair .…”

Section: Discussionmentioning

confidence: 99%

“…IABP provides afterload reduction for the left ventricle, increased diastolic perfusion of coronary arteries, and decreases left to right shunting. [24][25][26][27][28] In many instances, the use of early IABP combined with judicious inotropic support is sufficient to temporize patients until definitive surgical repair. 24,27,29,30 Additional benefits of IABP are availability and ease of use.…”

Section: Review Of Literature For Mechanical Circulatory Support Aftementioning

confidence: 99%

Mechanical Circulatory Support as a Bridge to Definitive Surgical Repair After Post-Myocardial Infarct Ventricular Septal Defect

et al. 2015

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Ventricular septal defect (VSD) after myocardial infarction (MI) is an uncommon but serious complication. Patients refractory to attempts at medical stabilization and requiring emergency surgery have expected mortality rates greater than 50%. We present three cases of extracorporeal membrane oxygenation bridge to surgical repair in patients with multisystem organ failure who would otherwise require emergent cardiac surgery with associated risk and review the literature for mechanical circulatory support for patients with anterior and posterior post-MI VSD.

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“…At present, many clinical studies on cardiac surgery do not support the preventive application of IABP (19,20), and guidelines recommend IABP only as a means for circulation in patients with refractory cardiogenic shock. The present study did not adopt a preventive application strategy.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of intra-aortic balloon pump in patients with cardiogenic shock during the perioperative period of cardiac surgery

Jiang

Zhu

et al. 2017

Experimental and Therapeutic Medicine

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Intra-aortic balloon pumps (IABP) have saved many patients with cardiogenic shock during the perioperative period of cardiac surgery. However, the ideal insertion timing is controversial. In the present study, we aimed to optimize the insertion timing, in order to increase the survival rate of the patients. A total of 197 patients with cardiogenic shock during the perioperative period of cardiac surgery and implemented IABP from January 2011 to October 2015 were selected for the study. Patients were divided into five groups on the basis of application timing of IABP: 0–60, 61–120, 121–180, 181–240 and >240 min. The 30-day mortality, application rate of continuous renal replacement therapy (CRRT), duration of mechanical ventilation, duration of hospital stay and hospitalization charges were analyzed in the above groups. The risk factors related to mortality and the occurrence of IABP complications were also analyzed. The mortality in the 0–60, 61–120, 121–180, 181–240 and >240 min groups were 42.17, 36.6, 77.3, 72.7 and 79.3%, respectively. Earlier IABP insertion resulted in less patients receiving CRRT from acute renal failure and less daily hospitalization charges. However, the IABP application timing had no effect on indexes such as hospitalization duration, duration of mechanical ventilation and total hospitalization charges. Multifactor logistic regression analysis indicated that the independent risk factors of death in patients with cardiogenic shock during cardiac surgery were related to IABP support timing and vasoactive-inotropic score (VIS) before balloon insertion. In the first 120 min of cardiogenic shock during the perioperative period of cardiac surgery, IABP application decreased 30-day mortality. Mortality was related with VIS score of patients, which can be used to predict the prognosis of patients with cardiogenic shock.

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Single-Centre Experience with Perioperative Use of Intraaortic Balloon Pump in Cardiac Surgery

Cited by 13 publications

References 22 publications

Intra-Aortic Balloon Counterpulsation in Contemporary Practice – Where Are We?

Intra-Aortic Balloon Counterpulsation in Contemporary Practice – Where Are We?

Mechanical Circulatory Support as a Bridge to Definitive Surgical Repair After Post-Myocardial Infarct Ventricular Septal Defect

Clinical application of intra-aortic balloon pump in patients with cardiogenic shock during the perioperative period of cardiac surgery

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