Document Detail

Intraaortic balloon pump management of refractory congestive heart failure in children.
MedLine Citation:
PMID:  8456016     Owner:  NLM     Status:  MEDLINE    
From December 1975 to September 1989, nine children, ages 0.6-15.8 years (mean = 8.1 years) and weighing 5-44 kg (mean = 24 kg), were identified as requiring intraaortic balloon pump support. Indications included ventricular failure refractory to maximal conventional therapy, inability to wean from cardiopulmonary bypass, and myocardial ischemia. Prior to insertion of the balloon catheter, mean systolic blood pressure was 64 mmHg, one to four cardiotonic medications were being administered, mechanical ventilation was being performed in eight patients, and mean urine output was 0.4 ml/kg/min in eight. Following balloon catheter insertion, mean urine output increased to 0.9 ml/kg/min. Four patients survived following discontinuation of the balloon catheter 12-96 h (mean = 59 h) after initiation. Though complications such as loss of distal lower extremity pulses, sepsis, thrombocytopenia, and abdominal distention were observed, most could be attributed to other causes. Thus, the intraaortic balloon pump is a valuable addition to conventional medical therapy in the treatment of refractory cardiogenic shock in children.
J K Park; D T Hsu; W M Gersony
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  14     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-04-16     Completed Date:  1993-04-16     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  IM    
Division of Pediatric Cardiology, Babies Hospital, Columbia Presbyterian Medical Center, New York, New York.
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MeSH Terms
Cardiotonic Agents / therapeutic use
Combined Modality Therapy
Heart Failure / mortality,  therapy*
Intra-Aortic Balloon Pumping*
Respiration, Artificial
Shock, Cardiogenic / mortality,  therapy*
Treatment Outcome
Reg. No./Substance:
0/Cardiotonic Agents

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

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