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George C. Kaiser
Joseph D. Marco
Hendrick B. Barner
John E. Codd
Hillel Laks
Vallee L. Willman
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Ann Thorac Surg 1976;21:487-491
© 1976 The Society of Thoracic Surgeons

Articles

Intraaortic Balloon Assistance

George C. Kaiser, M.D.*, Joseph D. Marco, M.D., Hendrick B. Barner, M.D., John E. Codd, M.D., Hillel Laks, M.D., Vallee L. Willman, M.D.

Department of Surgery, St. Louis University School of Medicine, St. Louis, MO

* Address reprint requests to Dr. Kaiser, Department of Surgery, 1325 S Grand Blvd, St. Louis, MO 63104

Intraaortic balloon (IAB) assistance in 64 patients over 21/2; years has resulted in a survival rate of 11% (1 patient) when used alone but 47% when utilized in patients treated surgically (long-term survival, 38% [21 patients]). Patients undergoing coronary artery bypass grafting or aortic valve replacement have a long-term survival of 50% (8 and 9 patients, respectively). The required duration of IAB support has a bearing on the clinical result. Complications have been minimal. Though it was originally developed to assist in the nonoperative management of complications of ischemic heart disease, IAB assistance offers significant promise as an adjuvant to operative therapy for both ischemic and valvular heart disease.




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