Predictors of Intra-Aortic Balloon Pump Insertion in Coronary Surgery and Mid-Term Results

Ergüneş, Kazım; Yurekli, Ismail; Çelik, Ersin; Yetkin, Ufuk; Yilik, Levent; Gürbüz, Ali

doi:10.5090/kjtcs.2013.46.6.444

Cited by 4 publications

(6 citation statements)

References 15 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The significant variables associated with in-hospital mortality were being hypertensive, the occurrence of new-onset arrhythmias, post-operative renal insufficiency, and the development of thromboembolic events. Ergunes et al [7] in a similar study reported an in-hospital mortality rate of 35.8%, which was comparatively high compared to our study. Post-operative renal insufficiency, prolonged ventilatory support, and post-operative atrial fibrillation were independent predictors of mortality in these patients, similar to the finding in our study.…”

Section: Discussioncontrasting

confidence: 62%

“…[6] Ergüneş et al reported an in-hospital mortality rate of 35.8% in isolated CABG patients with IABP support and post-operative renal insufficiency, prolonged ventilatory support, and post-operative atrial fibrillation were independent predictors of mortality in these patients. [7] Due to the complexity involved in caring for CABG patients with IABP, nurses must have advanced assessment and analytical skills and a strong understanding of hemodynamics for the early identification of complications and factors associated with outcome. In this context, this study was undertaken.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Clinical Outcomes and Factors Affecting in-Hospital Mortality among Coronary Artery Bypass Graft Patients with Intra-aortic Balloon Pump – Implications for Nursing Care

Thapasya¹,

Bineesh²,

Preena³

et al. 2022

IJNH

View full text Add to dashboard Cite

Aim: Intra-aortic balloon pump (IABP) is the most widely used acute mechanical circulatory support device in patients undergoing coronary artery bypass graft (CABG). The objectives of the study were to assess the clinical outcomes, risk factors, and variables predictive of in-hospital mortality in these patients. Materials and Methods: Retrospective analysis of the medical records of all the 96 patients who underwent isolated on-pump CABG with IABP inserted during the period from January 2016 to January 2020 in a selected tertiary care center. The risk factors and variables predictive of in-hospital mortality were analyzed. Results: The mean age of participants was 64 ± 7.9 years. In-hospital mortality occurred in 28.2% of study subjects. Those who were hypertensive (P = 0.012, OR = 5.85, 95%CI – 1.27–26.93), pre-operative renal insufficiency (P = 0.02, OR=2.83, 95% CI – 1.12–7.12), developed new-onset atrial and or ventricular arrhythmia(P < 0.001, OR = 31.87, 95%CI - 4.09–248.28), post-operative renal insufficiency(P < 0.001, OR = 6.72, 95% CI – 2.51–18.02), and thromboembolic events (P = 0.006, OR = 6.28, 95% CI – 2.51–18.02) had a higher odds of in-hospital mortality which was statistically significant. The variables predictive of in-hospital mortality were hypertension (Adjusted OR – 7.12, 95% CI – 1.25–40.38), occurrence of new-onset arrhythmia (Adjusted OR – 22.08, 95% CI 2.54–190.48), post-operative renal insufficiency (Adjusted OR – 7.38, 95% CI – 2.17–25.09), and thromboembolic events (Adjusted OR – 2.08, 95% CI – 0.33–12.83). Conclusion: Patients requiring IABP support belong to a high-risk group with significant risk of early post-operative mortality. Assessment and understanding of patient and clinical factors affecting outcomes should be one of the core nursing responsibilities in caring these patients.

show abstract

Section: Discussioncontrasting

confidence: 62%

mentioning

confidence: 99%

Clinical Outcomes and Factors Affecting in-Hospital Mortality among Coronary Artery Bypass Graft Patients with Intra-aortic Balloon Pump – Implications for Nursing Care

Thapasya¹,

Bineesh²,

Preena³

et al. 2022

IJNH

View full text Add to dashboard Cite

show abstract

“…CABG added to SAVR shows a nonsignificant trend toward a greater need for postoperative IABP compared to i-SAVR. Longer CPB and aortic X-clamp times, prolonged operative time, and peripheral vascular disease are predictive for postoperative IABP [ 72 , 73 ]. These factors may explain why patients who underwent CABG in combination with SAVR had a higher incidence of postoperative IABP implantation.…”

Section: Discussionmentioning

confidence: 99%

The early and long-term outcomes of coronary artery bypass grafting added to aortic valve replacement compared to isolated aortic valve replacement in elderly patients: a systematic review and meta-analysis

et al. 2022

View full text Add to dashboard Cite

In aged population, the early and long-term outcomes of coronary revascularization (CABG) added to surgical aortic valve replacement (SAVR) compared to isolated SAVR (i-SAVR) are conflicting. To address this limitation, a meta-analysis comparing the early and late outcomes of SAVR plus CABG with i-SAVR was performed. Electronic databases from January 2000 to November 2021 were screened. Studies reporting early-term and long-term comparison between the two treatments in patients over 75 years were analyzed. The primary endpoints were in-hospital/30-day mortality and overall long-term survival. The pooled odd ratio (OR) and hazard ratio (HR) with 95% confidence interval (CI) were calculated for in-early outcome and long-term survival, respectively. Random-effect model was used in all analyses. Forty-four retrospective observational studies reporting on 74,560 patients (i-SAVR = 36,062; SAVR + CABG = 38,498) were included for comparison. The pooled analysis revealed that i-SAVR was significantly associated with lower rate of early mortality compared to SAVR plus CABG (OR = 0.70, 95% CI 0.66–0.75; p < 0.0001) and with lower incidence of postoperative acute renal failure (OR = 0.65; 95% CI 0.50–0.91; p = 0.02), need for dialysis (OR = 0.65; 95% CI 0.50–0.86; p = 0.002) and prolonged mechanical ventilation (OR = 0.57; 95% CI 0.42–0.77; p < 0.0001). Twenty-two studies reported data of long-term follow-up. No differences were reported between the two groups in long-term survival (HR = 0.95; 95% CI 0.87–1.03; p = 0.23). CABG added to SAVR is associated with worse early outcomes in terms of early mortality, postoperative acute renal failure, and prolonged mechanical ventilation. Long-term survival was comparable between the two treatments.

show abstract

“…The analysis of long-term outcomes of CABG with IABP is complicated due to heterogeneity of the publications, which can be presented as follows: 1). The surgery outcomes either before (20,21), or after 2000 (18,19,(22)(23)(24)(25)(26), or consolidated results in patients underwent surgery before and after 2000 (25); 2). Consolidated outcomes in patients underwent CABG with IABP and off-pump surgery (23,26); 3).…”

Section: Introductionmentioning

confidence: 99%

“…Long-term outcomes in patients ≤70 and >70 age, with different hemodynamic status; the surgery in patients with acute myocardial infarction/unstable angina; different LVEF values, varying between ≤30-50%; existence/absence of mechanical MI complications; chronic kidney failure/admitted to hemodialysis, or indicated after surgery; 5). Heterogenous long-term outcomes with preventive IABP in patients with initially stable hemodynamics (18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of cabg with intra-aortic balloon pump support

Aliyev¹

2022

AZJCVS

View full text Add to dashboard Cite

Analyzed literature data concerning late outcomes of CABG with intra-aortic balloon pump (IABP) support in high-risk patients with acute coronary syndrome. MEDLINE, EMBASE, Scopus, The Benchmark Counterpulsation Outcomes Registry, Cochrane registry of Controlled Trials, and reference lists of relevant articles were searched. Results of surgery were matched with: 1).suitable option and time of surgery; 2).initial risk profile of patients; 3).tactic strategy, and timing of IABP connection; 4).leading risk predictors of in-hospital, and late results of surgery.

show abstract

Predictors of Intra-Aortic Balloon Pump Insertion in Coronary Surgery and Mid-Term Results

Cited by 4 publications

References 15 publications

Clinical Outcomes and Factors Affecting in-Hospital Mortality among Coronary Artery Bypass Graft Patients with Intra-aortic Balloon Pump – Implications for Nursing Care

Clinical Outcomes and Factors Affecting in-Hospital Mortality among Coronary Artery Bypass Graft Patients with Intra-aortic Balloon Pump – Implications for Nursing Care

The early and long-term outcomes of coronary artery bypass grafting added to aortic valve replacement compared to isolated aortic valve replacement in elderly patients: a systematic review and meta-analysis

Long-term outcomes of cabg with intra-aortic balloon pump support

Contact Info

Product

Resources

About