Aggressive preoperative use of intraaortic balloon pump in elderly patients undergoing coronary artery bypass grafting

Coronary artery bypass grafting in patients with low ejection fraction: The effect of intra-aortic balloon pump insertion on early outcome

“…[14] Arafa et al found a mortality rate of 52.6% in patients undergoing cardiac operations who required the use of an IABP and conÞ rmed that the early mortality rate in patients who received an IABP was high. [15] Although the beneÞ cial effects of IABP treatment in high-risk patients who have coronary artery bypass grafting have been shown, [16][17][18] determination of the main factors that can influence the IABP-associated mortality in low EF patients is recommended. In the present study, prolonged LOS was observed even more in patients with IABP application.…”

Beneficial Effects of Pre-Operative Intra Aortic Balloon Pump Support in High Risk Patients Undergoing Coronary Artery Bypass Graft Surgery

“…18,19 Intra-operative and post-operative IABP insertion has been disappointing because of the associated high mortality rate, as well as complication rate. 4,5 In patients who had an IABP inserted post-operatively, the treatment was required for a substantially longer time, which not only increases the total procedural cost (by prolonged stay in the intensive care unit and massive pharmacologic support) but also could increase the risk of IABP-related complications.…”

“…[1][2][3][4][5] Pre-operative IABP therapy improves cardiac performance and facilitates access to the target vessels while maintaining hemodynamic stability, even in high-risk patients. 6,7 In our institution, pre-operative IABP is used selectively as a modality to support CABG surgery in high-risk patients since provides better hemodynamic stability and coronary perfusion and minimizes low output syndrome and organ dysfunction.…”

Efficacy of Elective Intra-aortic Balloon Pump Therapy for High-Risk Off-Pump Coronary Artery Bypass: A Prospective Comparative Study

“…[9][10][11] Elective IABP in severely ill patients is expected to be useful for improving the OP- CAB completion rate as well as avoiding emergency conversion; however, whether elective IABP is appropriate as a supportive measure for the management of ischemia or the hemodynamic deterioration associated with manipulation during OPCAB in severely ill patients remains unclear. Also, whether the use of IABP increases invasiveness in OPCAB is another matter of concern.…”

“…For such high-risk patients, elective intra-aortic balloon pumping (IABP) therapy has been reported as a strategy to improve the outcomes of CABG with cardiopulmonary bypass. [9][10][11] The effectiveness of elective IABP in OPCAB has also been reported recently, [12][13][14][15][16][17] but its use-fulness has not been sufficiently evaluated. In the present study, we will focus to evaluate on the effectiveness of elective IABP in high-risk OPCAB patients intentionally and prospectively introduced and compared with low-risk OPCAB patients who were operated without IABP.…”