Percutaneous Intraaortic Balloon Pumping: Initial Clinical Experience

Bregman, David; Casarella, William J.

doi:10.1016/s0003-4975(10)61654-2

Cited by 95 publications

(19 citation statements)

References 3 publications

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“…Although the majority of patients can be routinely weaned from cardiopulmonary bypass using inotropic agents, up to 3% to 5% may develop severe postcardiotomy myocardial dysfunction requiring mechanical circulatory assist devices 2 . Since the introduction of a percutaneously insertable version in 1979, intraaortic balloon counterpulsation (IABP) has become the most frequently used mechanical support in the world 3‐6 . IABP augments coronary perfusion and unloads the failing left ventricle, thereby improving systemic hemodynamics.…”

mentioning

confidence: 99%

“…2 Since the introduction of a percutaneously insertable version in 1979, intraaortic balloon counterpulsation (IABP) has become the most frequently used mechanical support in the world. [3][4][5][6] IABP augments coronary perfusion and unloads the failing left ventricle, thereby improving systemic hemodynamics. However, in about 1% of patients suffering from hemodynamic instability, IABP offers insufficient hemodynamic support.…”

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confidence: 99%

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The Impact of Intraaortic Balloon Counterpulsation on Bypass Graft Flow in Patients with Peripheral ECMO

Madershahian

Liakopoulos

Wippermann

et al. 2009

Journal of Cardiac Surgery

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confidence: 99%

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confidence: 99%

The Impact of Intraaortic Balloon Counterpulsation on Bypass Graft Flow in Patients with Peripheral ECMO

Madershahian

Liakopoulos

Wippermann

et al. 2009

Journal of Cardiac Surgery

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“…Percutaneous introduction (40), instead of the initial surgical graft approach, rendered the technique more appealing to cardiologists and reduced complications. Sheathless introduction was found to be easier.…”

Section: Developmentsmentioning

confidence: 99%

Intra‐Aortic Balloon Counterpulsation 50 Years Later: Initial Conception and Consequent Ideas

Moulopoulos

2011

Artificial Organs

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For nearly 50 years, intra-aortic balloon counterpulsation (IABC) has been the most widely applied temporary assistance method, operating in series with the heart. It helps wean patients from the heart-lung machine after cardiac operations. It is also used in patients with advanced coronary heart disease before and during cardiac and noncardiac operations as well as during percutaneous interventions. Cases of post-acute myocardial infarction severe cardiogenic shock can also benefit from IABC until or during revascularization or if the latter is impractical. A brief review of mostly experimental attempts is reported as "derivatives" of IABC, as they yielded interesting and sometimes intriguing results that need further investigation.

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“…Ever since, the IABP has been increasingly used for several clinical conditions requiring mechanical cardiac assistance, especially after the availability of a percutaneous insertion technique (11). In current practice, IABP therapy is still the most accessible and most frequently used method of mechanical cardiac assistance in the catheterization laboratory.…”

Section: Intra Aortic Balloon Pumpmentioning

confidence: 99%

Percutaneous mechanical cardiac assist in myocardial infarction. Where are we now, where are we going?

2007

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Since its first clinical application in patients with cardiogenic shock (CS) in 1968, the intra aortic balloon pump (IABP) increasingly has been used for several clinical conditions requiring mechanical cardiac assistance. In current practice, IABP therapy is still the most accessible and most frequently used method of mechanical cardiac assistance. It is primarily being used as a therapeutic instrument for hemodynamic stabilization in left ventricular failure and cardiogenic shock, mainly in patients with myocardial infarction. Although IABP therapy showed to be effective for stabilization of hemodynamically compromised patients, it has failed to show any long-term survival benefit in any setting of acute myocardial infarction. The rapid developments in ventricular assist device technology have led to the availability of several percutaneous implantable left ventricular assist devices (LVADs). These more potent percutaneous LVADs herald a promising alternative therapeutic approach for mechanical cardiac assistance other than IABP therapy. This article reviews the current status, capabilities, limitations, and future perspectives of currently available percutaneous treatment options for mechanical cardiac assistance in acute myocardial infarction.

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Percutaneous Intraaortic Balloon Pumping: Initial Clinical Experience

Cited by 95 publications

References 3 publications

The Impact of Intraaortic Balloon Counterpulsation on Bypass Graft Flow in Patients with Peripheral ECMO

The Impact of Intraaortic Balloon Counterpulsation on Bypass Graft Flow in Patients with Peripheral ECMO

Intra‐Aortic Balloon Counterpulsation 50 Years Later: Initial Conception and Consequent Ideas

Percutaneous mechanical cardiac assist in myocardial infarction. Where are we now, where are we going?

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