Intra-aortic balloon pump postcardiac surgery: A literature review

Jannati, Mansour; Attar, Armin

doi:10.4103/jrms.jrms_199_18

Cited by 13 publications

(15 citation statements)

References 66 publications

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“…Second, some indications may be relevant for IABP implantation in CS. Indeed, mechanical complications of myocardial infarction such as ventricular septal defect or mitral regurgitation are well‐known although relatively rare indications for IABP implantation 5,6 . Above all, this technique is cost‐effective, simple, and feasible in all centres.…”

Section: Discussionmentioning

confidence: 99%

Intra‐aortic balloon pump: is the technique really outdated?

et al. 2020

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Aims Intra-aortic balloon pump (IABP) utilization was expected to be quickly abandoned following the IABP-shock trial and its class III, level B recommendation in the 2016 European Society of Cardiology (ESC) guidelines. The aim of this study was to evaluate the use of IABP compared with other mechanical support devices in a nationwide approach. Methods and results We conducted a retrospective study based on the French national hospital discharge database. All patients undergoing assist device implantation by IABP, extracorporeal membrane oxygenation (ECMO), or IMPELLA® from 2014 to 2018 (2 years before/2 years after the 2016 guidelines) were included. The primary endpoint was the incidence of IABP implantation over the years. Secondary endpoints were incidence of total assist device, ECMO, and IMPELLA® implantations. From 2014 to 2018, a total of 18 940 patients benefited from mechanical support by IABP (n = 6657, 35.2%), ECMO (n = 11 881, 62.7%), or IMPELLA® (n = 402, 2.1%) in France. The incidence of total mechanical support implantations (ECMO and IABP) was constant over the years. IABP implantations decreased progressively from 1725 implantations in 2014 to 996 in 2018 (À42%). By contrast, ECMO implantations increased progressively from 1919 implantations in 2014 to 2763 implantations in 2018 (+44%). IMPELLA® implantations remained stable over the years from 63 (1.7%) implantations in 2014 to 83 (2.1%) in 2018. Conclusions In this nationwide real-life study, despite a significant decline in IABP implantations over the years since the ESC guidelines, this device remained used in clinical practice with around 1000 implantations in 2018. The size of centres was not strictly correlated with this use, suggesting differential uses depending on the local background.

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Section: Discussionmentioning

confidence: 99%

Intra‐aortic balloon pump: is the technique really outdated?

et al. 2020

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“…The simulation results show that the coronary flow increases by about 10% when the working mode changes from co-pulsation to counter-pulsation in a synchronization ratio of 3: 1. The proposed operating mode is partly similar to the IABP (intra-aortic balloon pump) [ 39 ]. The increased coronary flow can provide more myocardial oxygen supply and may be beneficial to the cardiac function.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pulsatile Frequency of Left Ventricular Assist Device (LVAD) on Coronary Perfusion: A Numerical Simulation Study

et al. 2020

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Background Left ventricular assist devices (LVADs) with counter-pulsation mode have been widely used to support left ventricular function and improve coronary circulation. However, the frequency characteristics of the coronary system have not been considered. The aim of this study was to investigate the effects of pulsatile frequency of LVADs on coronary perfusion. Material/Methods First, a lumped parameter (LP) model incorporating coronary circulation, systemic circulation, left heart, and LVAD was established to simulate the cardiovascular system. Then, the frequency characteristics of the coronary system were analyzed and the calculation results showed that the pulsatile frequency of the LVAD has a substantial effect on coronary blood flow. To verify the accuracy of the theoretical analysis, the hemodynamic effects of the LVAD on the coronary artery were compared under 4 support modes: co-pulsation mode, and counter-pulsation modes in synchronization ratios of 1: 1, 2: 1, and 3: 1. Results We found that the coronary flow increased by 5% when the working mode changed from co-pulsation to counter-pulsation in a synchronization ratio of 1: 1, and by an additional 6% when the working mode changed from counter-pulsation in a synchronization ratio of 1: 1 to counter-pulsation in a synchronization ratio of 3: 1. Conclusions This work provides a useful method to increase coronary perfusion and may be beneficial for improving myocardial function in patients with end-stage heart failure, especially those with ischemic cardiomyopathy (ICM).

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“…Extended transthoracic IABP ensures hemodynamic and end-organ support, enabling early mobility and physical rehabilitation. However, the use of transthoracic access is associated with complications [4,10,11]. This report is of a patient with end-stage heart failure who was successfully supported using transiliac artery IABP as a bridge to heart transplant.…”

Section: Discussionmentioning

confidence: 99%

“…This case was not associated with infection, although only one case is described. Notably, there is a relatively low prevalence of reported infections associated with transthoracic IABP placement, which indicates that this complication can vary with the methods used [4,5,11]. The femoral or axillary approach for IABP are associated with limitations of patient mobility that may require adjustments [2,3,14], Also, there is a tendency to use a closing device to seal arterial puncture sites.…”

Section: Discussionmentioning

confidence: 99%

Intra-Aortic Balloon Pump Catheter Insertion Using a Novel Left External Iliac Artery Approach in A Case of Chronic Heart Failure Due to Dilated Cardiomyopathy

et al. 2019

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Management of emergency care Background: The use of an intra-aortic balloon pump (IABP) in patients with advanced heart failure can provide interim mechanical support as a bridge to further treatment, including cardiac transplantation. The femoral artery, axillary artery, and subclavian artery are the main approaches to IABP catheter placement. A case is reported of the use of a left external iliac artery approach to IABP catheter placement using a subcutaneous channel in a patient with chronic heart failure. Case Report: A 67-year-old woman presented with a history of heart failure. She had New York Heart Association (NYHA) Functional Class IV symptoms. The patient had a history of chronic heart failure due to dilated cardiomyopathy with a left ventricular ejection fraction of 25%, severe mitral regurgitation, paroxysmal atrial fibrillation, and hypothyroidism. Immediate pharmacological treatment began, and an IABP catheter was initially inserted using femoral artery access. During 115 days of hospital treatment, several unsuccessful attempts were made to remove the IABP catheter. Due to prolonged patient immobility, the IABP catheter access was changed from the femoral artery to the external iliac artery. A prosthetic Dacron graft and a subcutaneous channel were used. Optimal pharmacotherapy commenced, and the patient underwent rehabilitation and mobilization with significant improvement in cardiac function. At 195 days after changing the IABP catheter access, the patient underwent successful heart transplantation. Conclusions: This report demonstrated that in a patient with chronic heart failure requiring long-term femoral IABP catheter placement, an external iliac artery approach using a subcutaneous channel provided a bridge to cardiac transplantation.

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Intra-aortic balloon pump postcardiac surgery: A literature review

Cited by 13 publications

References 66 publications

Intra‐aortic balloon pump: is the technique really outdated?

Intra‐aortic balloon pump: is the technique really outdated?

Effects of Pulsatile Frequency of Left Ventricular Assist Device (LVAD) on Coronary Perfusion: A Numerical Simulation Study

Intra-Aortic Balloon Pump Catheter Insertion Using a Novel Left External Iliac Artery Approach in A Case of Chronic Heart Failure Due to Dilated Cardiomyopathy

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