HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gunstensen, J. Articles by Adelman, A. G. Search for Related Content PubMed PubMed Citation Articles by Gunstensen, J. Articles by Adelman, A. G.

The Annals of Thoracic Surgery, Vol 22, 535-545, Copyright © 1976 by The Society of Thoracic Surgeons

ARTICLES

Evolving indications for preoperative intraaortic balloon pump assistance

J Gunstensen, BS Goldman, HE Scully, VF Huckell and AG Adelman

Over a two-year period about 1,000 operations were performed with cardiopulmonary bypass. Intraaortic balloon pump assistance (IABP) was employed on 150 occasions, and a review of these has permitted clarification of the indications for its use. Sixty patients had IABP for carcinogenic shock either after infarction or cardiotomy, and 37 (62%) survived. Preoperative IABP in 90 high-risk patients resulted in survival for 79 (88%). The indications for prophylactic IABP included: (1) relief of severe pain, which occurred in 42 patients with acute coronary insufficiency, (2) improvement in the coronary perfusion pressure, which was accomplished in 20 patients with significant left main coronary artery occlusion or its equivalent, and (3) protection of left ventricular function, which war carried out in 28 patients with an LV ejection fraction of less than 0.40. The significance of the preoperative endocardial viability ratio (EVR) in relation to prophylactic IABP was also assessed: an EVR below 0.70 appears to be an indication for preoperative IABP.

This article has been cited by other articles:

				J. T. Christenson, M. Cohen, J. J. Ferguson III, R. J. Freedman, M. F. Miller, E. M. Ohman, R. C. Reddy, G. W. Stone, and P. M. Urban Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1086 - 1090. [Abstract] [Full Text] [PDF]

				R. J.F. Baskett, W. A. Ghali, A. Maitland, and G. M. Hirsch The intraaortic balloon pump in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1276 - 1287. [Abstract] [Full Text] [PDF]

				K.-B. Kim, C. Lim, H. Ahn, and J.-K. Yang Intraaortic balloon pump therapy facilitates posterior vessel off-pump coronary artery bypass grafting in high-risk patients Ann. Thorac. Surg., June 1, 2001; 71(6): 1964 - 1968. [Abstract] [Full Text] [PDF]

				J. M. Craver and C. P. Murrah Elective intraaortic balloon counterpulsation for high-risk off-pump coronary artery bypass operations Ann. Thorac. Surg., April 1, 2001; 71(4): 1220 - 1223. [Abstract] [Full Text] [PDF]

				J. T. Christenson, F. Simonet, P. Badel, and M. Schmuziger Optimal timing of preoperative intraaortic balloon pump support in high-risk coronary patients Ann. Thorac. Surg., September 1, 1999; 68(3): 934 - 939. [Abstract] [Full Text] [PDF]

				W. A. Ghali, A. S. Ash, R. E. Hall, and M. A. Moskowitz Variation in hospital rates of intraaortic balloon pump use in coronary artery bypass operations Ann. Thorac. Surg., February 1, 1999; 67(2): 441 - 445. [Abstract] [Full Text] [PDF]

				O. E. Arafa, T. H. Pedersen, J. L. Svennevig, E. Fosse, and O. R. Geiran Intraaortic Balloon Pump in Open Heart Operations: 10-Year Follow-up With Risk Analysis Ann. Thorac. Surg., March 1, 1998; 65(3): 741 - 747. [Abstract] [Full Text] [PDF]

				J. T. Christenson, P. Badel, F. Simonet, and M. Schmuziger Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG Ann. Thorac. Surg., November 1, 1997; 64(5): 1237 - 1244. [Abstract] [Full Text]

				C. A. Dietl, M. D. Berkheimer, E. L. Woods, C. L. Gilbert, W. F. Pharr, and C. H. Benoit Efficacy and Cost-Effectiveness of Preoperative IABP in Patients with Ejection Fraction of 0.25 or Less Ann. Thorac. Surg., August 1, 1996; 62(2): 401 - 409. [Abstract] [Full Text]

				M. L. Scott and J. R. Milam Long Term Management of the Intra Aortic Balloon Pump Dependent Patient Angiology, March 1, 1983; 34(3): 192 - 196. [PDF]