Preoperative Intra-Aortic Counterpulsation in Cardiac Surgery: Insights From a Retrospective Series of 588 Consecutive High-Risk Patients

Gatti, Giuseppe; Morra, Laura; Castaldi, Gianluca; Maschietto, Luca; Gripshi, Florida; Fabris, Enrico; Perkan, Andrea; Benussi, Bernardo; Sinagra, Gianfranco; Pappalardo, Aniello

doi:10.1053/j.jvca.2017.12.008

Cited by 12 publications

(20 citation statements)

References 23 publications

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“…Although not a prospective or randomized trial, Gatti et al recently presented findings from retrospective, observational study reviewing outcomes from 588 consecutive patients who received IABP before cardiac surgery in a single Italian university hospital setting from 1999 to 2016. 9 This review of the more recent experience of the authors in the use of preoperative IABP demonstrated an increased rate of preoperative use of IABP for prophylaxis and unstable angina, despite a reduction in patient surgical risk throughout the study time period. Early period of surgery, rapid worsening of hemodynamics in the operating room, renal impairment, and ventilation before surgery were all predictors of in-hospital mortality, which was found to be 10.9% (64 of 588 study participants).…”

Section: Since It Was First Introduced Into Clinical Practice Bymentioning

confidence: 92%

Prophylactic Intra-aortic Balloon Counterpulsation—Still Searching for Answers

Townsley

2018

Journal of Cardiothoracic and Vascular Anesthesia

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Section: Since It Was First Introduced Into Clinical Practice Bymentioning

confidence: 92%

Prophylactic Intra-aortic Balloon Counterpulsation—Still Searching for Answers

Townsley

2018

Journal of Cardiothoracic and Vascular Anesthesia

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“…Peri-operative care in cardiac surgery : the implantation of IABP before cardiac surgery in selected high-risk patients with LV dysfunction can reduce low flow syndrome/perioperative complications and intensive care length of stay. 47 , 48 …”

Section: Advanced Heart Failure: the Dimensions Of The Problemmentioning

confidence: 99%

ANMCO POSITION PAPER: Role of intra-aortic balloon pump in patients with acute advanced heart failure and cardiogenic shock

Rossini

Valente

Colivicchi

et al. 2021

European Heart Journal Supplements

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The treatment of patients with advanced acute heart failure is still challenging. Intra-aortic balloon pump (IABP) has widely been used in the management of patients with cardiogenic shock. However, according to international guidelines, its routinary use in patients with cardiogenic shock is not recommended. This recommendation is derived from the results of the IABP-SHOCK II trial, which demonstrated that IABP does not reduce all-cause mortality in patients with acute myocardial infarction and cardiogenic shock. The present position paper, released by the Italian Association of Hospital Cardiologists, reviews the available data derived from clinical studies. It also provides practical recommendations for the optimal use of IABP in the treatment of cardiogenic shock and advanced acute heart failure.

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“…Due to the size of the catheter, insertion became a troubling process that had complications. To better the process, 9 Fr 40 mL catheters were upgraded to smaller 7 Fr 40 mL ones in 2006 [25]. This change resulted in less obstruction and vascular complications, but the size was still a troubling issue.…”

Section: Cathetermentioning

confidence: 99%

Intra-Aortic Balloon Pump for Patients with Cardiac Conditions: An Update on Available Techniques and Clinical Applications

Limbert

Amiri

2019

Reports

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In this paper, we present a review of the intra-aortic balloon pump, as well as the usage of it in the medical field today. An intra-aortic balloon pump (IABP) is a biomedical device that can assist the heart during unstable angina or after a heart attack. This pump is typically used in patients who suffer from ischemia of the heart tissue, due to an unbalanced level of myocardial oxygen supply or demand. Through counterpulsation, which is a technique to synchronize the external pumping of blood with the heart’s cycle, the device can balance the supply and demand of blood that is necessary for the heart to pump properly. The IABP is comprised of the following four components: a polyurethane balloon, a polyethylene or fiber-optic catheter, a transducer, and the intra-aortic balloon pump console. In the past, researchers have used other materials that have low biocompatibility and can cause complications within the body. This analysis will explain the complications and state changes that occurred due to them. Limitations of past designs and advantages of current designs will be acknowledged, for they can be used by researchers to enhance designs for the future. Consequently, the analysis of this device may lead to improved designs and treatment in the future for patients with cardiac conditions.

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Preoperative Intra-Aortic Counterpulsation in Cardiac Surgery: Insights From a Retrospective Series of 588 Consecutive High-Risk Patients

Cited by 12 publications

References 23 publications

Prophylactic Intra-aortic Balloon Counterpulsation—Still Searching for Answers

Prophylactic Intra-aortic Balloon Counterpulsation—Still Searching for Answers

ANMCO POSITION PAPER: Role of intra-aortic balloon pump in patients with acute advanced heart failure and cardiogenic shock

Intra-Aortic Balloon Pump for Patients with Cardiac Conditions: An Update on Available Techniques and Clinical Applications

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