Document Detail


The intraaortic baloon pump: an analysis of five years' experience.
MedLine Citation:
PMID:  7377886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During a five-year period, 178 patients had the intraaortic balloon pump (IABP) inserted for circulatory support. The IABP was used most frequently as an adjunct for weaning patients from cardiopulmonary bypass. Seventy-seven of 103 patients (75%) were successfully weaned from cardiopulmonary bypass with the IABP, and 36 of them (35%) ultimately survived hospitalization. Other indications for the IABP included circulatory support before cardiac operation (16 patients), operative prophylaxis in high-rish patients (13), and postoperative hemodynamic support (23). Additionally, the IABP was placed in 23 patients who did not undergo cardiac operation. The incidence of IABP-related complications was significantly less when the IABP was inserted through the ascending aorta (4%) intraoperatively compared with the femoral or iliac artery (25%) (p less than 0.05). This was due primarily to vascular complications and groin wound infections that occurred with the femoral or iliac artery approach. IABP-related spinal cord paralysis developed in 3 patients (1.7%). We conclude that the IABP is an effective support device for treating patients with left ventricular failure particularly when weaning them from cardiopulmonary bypass. However, the risk of complications, including paraplegia, must be carefully weighed when use of the IABP is considered, especially in situations in which its efficacy is less clear.
Authors:
J Macoviak; L W Stephenson; L H Edmunds; A Harken; H MacVaugh
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  29     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1980 May 
Date Detail:
Created Date:  1980-07-12     Completed Date:  1980-07-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  451-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aorta, Thoracic
Assisted Circulation* / adverse effects
Cardiopulmonary Bypass
Catheterization / adverse effects
Female
Femoral Artery
Heart Failure / physiopathology,  prevention & control*
Hemodynamics
Humans
Iliac Artery
Intra-Aortic Balloon Pumping* / adverse effects
Male
Middle Aged
Paraplegia / etiology
Postoperative Care
Preoperative Care
Risk
Wound Infection / etiology

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


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