Document Detail


Current results with intraaortic balloon pumping in infants and children.
MedLine Citation:
PMID:  11899196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intraaortic balloon pumping (IABP) is useful for support in patients with moderate left ventricular dysfunction. IABP is usually timed with the R wave of the electrocardiogram. We have utilized M-mode echocardiography timed IABP in children with left-side heart failure since 1994. Electrocardiogram timing seems inappropriate for children, who have much higher heart rates. We describe our experience with children who underwent IABP therapy before and after 1994, when echocardiographic timing was instituted. METHODS: We reviewed records of 29 children who underwent IABP for all indications at Primary Children's Medical Center since 1988. RESULTS: Overall survival was 62.1% (18 of 29) in this series. Survival was similar for infants (odds ratio = 2.0, 95% confidence interval = 0.29 to 14.31, p = 0.43) and older children. Survival was similar in the echocardiography era when compared with the electrocardiogram era (odds ratio = 2.4, 95% confidence interval = 0.56 to 10.4, p = 0.44). CONCLUSIONS: IABP is a useful means of support in children with left ventricular dysfunction. M-mode echocardiography is effective in triggering IABP. The sample size in this study is too small to detect a mortality rate difference.
Authors:
Kerrie A Pinkney; L Luann Minich; Lloyd Y Tani; RussoGregoryB Di; L George Veasy; Edwin C McGough; John A Hawkins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  73     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-18     Completed Date:  2002-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  887-91     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Primary Children's Medical Center, University of Utah, Salt Lake City 84113, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Coronary Vessel Anomalies / surgery
Fontan Procedure
Heart Septal Defects, Ventricular / surgery
Humans
Infant
Intra-Aortic Balloon Pumping*
Postoperative Period
Retrospective Studies
Tetralogy of Fallot / surgery
Treatment Outcome
Ventricular Dysfunction, Left / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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