Document Detail

Intraaortic balloon pump support during high-risk coronary angioplasty.
MedLine Citation:
PMID:  8205567     Owner:  NLM     Status:  MEDLINE    
Intraaortic balloon pump support has been demonstrated to be of clinical benefit when used therapeutically and prophylactically in high-risk patients undergoing percutaneous transluminal coronary angioplasty (PTCA). Afterload reduction and post-PTCA-enhanced coronary blood flow afforded by diastolic augmentation during intraaortic balloon pumping provides hemodynamic stabilization, attenuates clinical perturbations of myocardial ischemia, and may provide an important 'bridge' to emergent coronary bypass surgery following abrupt vessel closure complicating PTCA. Recent studies demonstrate a reduction in cardiac morbidity and improved coronary artery patency among patients receiving prophylactic intraaortic balloon pumping after establishing infarct artery reperfusion during acute cardiac catheterization for acute myocardial infarction. A modest increase in cardiac output (20-30%), the requirement of a stable, regular cardiac rhythm, peripheral vascular disease and aortic insufficiency limits the use of intraaortic balloon pump support in relatively few patients. These studies demonstrate that intraaortic balloon counterpulsation provides an effective and safe form of mechanical support in many high-risk patients undergoing PTCA.
F V Aguirre; M J Kern; R Bach; T Donohue; E Caracciolo; M S Flynn; T Wolford
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology     Volume:  84     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1994  
Date Detail:
Created Date:  1994-07-12     Completed Date:  1994-07-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  175-86     Citation Subset:  IM    
Cardiac Catheterization Laboratory, St. Louis University Medical Center, Mo. 63110.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Circulation / physiology
Coronary Disease / physiopathology,  therapy*
Hemodynamics / physiology
Intra-Aortic Balloon Pumping / instrumentation*
Myocardial Infarction / physiopathology,  therapy
Shock, Cardiogenic / physiopathology,  therapy*
Ventricular Function, Left / physiology

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

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