Document Detail

Reinsertion predictors of intraaortic balloon pumps.
MedLine Citation:
PMID:  18187379     Owner:  NLM     Status:  MEDLINE    
The reinsertion rate of intraaortic balloon pumps (IABP) has not been clearly reported. We evaluated the use of left-ventricular ejection fraction (LVEF), fractional shortening (FS), and cardiac index (CI) values to asses cardiac performance as weaning criteria for IABP in a prospective study performed in 100 patients who required IABP. Patients were randomly divided into 2 groups of 50 patients. In group 1, classical hemodynamic criteria were considered as weaning criteria of IABP. In this group, IABPs were removed when measurements of general hemodynamic criteria were established to be in normal ranges. In group 2, LVEF, FS, and CI values reflecting cardiac performance were used to monitor patients under IABP support, and IABPs were removed when LVEF, FS, and CI values reached >30%, >20%, and >2.4 L/min per m2, respectively. Reinsertion of IABP was necessary in 13 patients in group 1 and in 9 patients in group 2 (P = .48). Vascular complications were the main cause of reinsertion of IABP in 7 and 9 patients in group 1 and group 2, respectively (P = .59). Nine patients died in group 1 and 2 in group 2 (P = .025). In group 1, death due to myocardial dysfunction occurred in 8 of 13 patients (62%) who had required reinsertion of IABP; 6 of these patients required reinsertion of IABP because of hemodynamic deterioration, whereas no patients in group 2 required reinsertion of IABP because of hemodynamic deterioration (P = .027). LVEF, FS, and CI values higher than 30% (P = .008), 20% (P = .005), and 2.4 L/min per m2 (P = .013), respectively, showed good outcomes in regard to avoiding reinsertion of IABP, indicating that these measurements were significant predictors for reinsertion of IABP.
Celalettin Gunay; Faruk Cingoz; Selim Kilic; Erkan Kuralay
Related Documents :
22595809 - Arrhythmias as trigger for acute exacerbations of chronic obstructive pulmonary disease.
11694789 - Retrospective analysis of the safety of herceptin immunotherapy in metastatic breast ca...
17558349 - Increased plasma levels of soluble triggering receptor expressed on myeloid cells 1 and...
3614039 - Sequential pulse defibrillation in man: comparison of thresholds in normal subjects and...
9397309 - Clinical significance of the urinary oxygen tension in patients with ischemic heart dis...
8852479 - Ceftriaxone in the treatment of lyme neuroborreliosis.
25132779 - Diagnostic value of controlled attenuation parameter for liver steatosis in patients wi...
888099 - Routine preoperative upper gastrointestinal series (ugis) in patients with biliary trac...
10803999 - Intrasphincteric botulinum toxin type a for the diagnosis of sphincter of oddi dysfunct...
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The heart surgery forum     Volume:  10     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2007  
Date Detail:
Created Date:  2008-01-11     Completed Date:  2008-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E463-7     Citation Subset:  IM    
Departments of Cardiovascular Surgery, Gülhane Military Medical Academy, Etlik-Ankara, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Device Removal
Follow-Up Studies
Heart Failure / physiopathology,  surgery*
Intra-Aortic Balloon Pumping / instrumentation*
Middle Aged
Prospective Studies
Prosthesis Failure
Prosthesis Implantation / methods*
Treatment Outcome
Ventricular Function / physiology

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

Previous Document:  High-risk patients with multivessel disease--is there a role for incomplete myocardial revasculariza...
Next Document:  Patient-specific characteristics determine success of surgical atrial fibrillation ablation in patie...