Document Detail


Impact of intraaortic balloon counterpulsation on arterial blood flow in juvenile pigs with heart failure.
MedLine Citation:
PMID:  15152141     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the impact of intraaortic balloon counterpulsation on coronary, renal and aortic blood flow in an animal heart failure model. BACKGROUND: Heart failure exacerbations are still often treated with inotropic medications despite a lack of evidence demonstrating any benefit with these drugs. Intraaortic balloon counterpulsation may be considered in certain cases a bridge to recovery. METHODS: Four juvenile pigs underwent pacemaker implantation to induce a rapid-pacing mediated dilated cardiomyopathy. After approximately 4 weeks of rapid pacing, the mean ejection fraction was reduced to 28.8+/-9.5% with a mean systolic blood pressure of 64/44 mmHg. The pigs then underwent surgical placement of flow probes around the circumflex coronary artery, renal artery and infrarenal aorta. A Millar catheter was used to calculate Dp/Dt and a Swan-Ganz to calculate cardiac output. Data were recorded at baseline and after 10 minutes of balloon pumping. The pigs were euthanized post-procedure. RESULTS: Coronary blood flow was increased 9.7% by balloon counterpulsation from 38.3 +/- 12.0 to 42.0+/-11.4 ml/s (p=NS). Renal blood flow was reduced 11.9% by counterpulsation from 130.0+/-88.6 ml/s to 114.5+/-76.6 ml/s (p=NS). Infrarenal aortic blood flow was not changed (mean of 900 ml/s with and without counterpulsation); blood pressure, cardiac output and Dp/Dt were not changed after 10 minutes of pumping. There was little impact observed by changing the position of the balloon closer to or farther away from the apex of the aortic arch. CONCLUSION: Intraaortic balloon counterpulsation did not significantly improve hemodynamics in the pig heart failure model. This may be attributed to the high compliance of the juvenile pig's aorta, thus attenuating the pressure wave generated by counterpulsation. A larger volume balloon would merit investigation for this application.
Authors:
Michael C Fischi; Fernando Tondato; Ronnie Adams; Jianhua Cui; Michael Hutchison; Nicolas A F Chronos
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  16     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-05-20     Completed Date:  2004-11-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  181-3     Citation Subset:  IM    
Affiliation:
Duke University Medical Center, American Cardiovascular Research Institute, 5314 Medlock Corners Drive, Norcross, GA 30092, USA. mfischi@acrionline.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Aorta / physiopathology*,  surgery*
Blood Pressure / physiology
Coronary Circulation / physiology*
Counterpulsation*
Disease Models, Animal
Heart Failure / physiopathology*,  surgery*
Intra-Aortic Balloon Pumping
Models, Cardiovascular
Renal Circulation / physiology*
Stroke Volume / physiology
Swine
Comments/Corrections
Comment In:
J Invasive Cardiol. 2004 Apr;16(4):184   [PMID:  15152142 ]

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


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