ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Steven J. Phillips
Robert H. Zeff
Chamnahn Kongtahworn
David F. Gordon
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Phillips, S. J.
Right arrow Articles by Gordon, D. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Phillips, S. J.
Right arrow Articles by Gordon, D. F.

Ann Thorac Surg 1992;54:908-910
© 1992 The Society of Thoracic Surgeons

Articles

Benefits of combined balloon pumping and percutaneous cardiopulmonary bypass

Steven J. Phillips, MD*, Robert H. Zeff, MD, Chamnahn Kongtahworn, MD, André Grignon, MD, Lawrence Barker, RN, L.A. Iannone, MD, Mark Tannenbaum, MD, Margaret H. Verhey, MD, William J. Wickemeyer, MD, Magdi G. Ghali, MD, David F. Gordon, MD

Cardiovascular Medicine and Surgery Department, Mercy Hospital Medical Center, Des Moines, Iowa, USA

Accepted for publication March 3, 1992.

* Address reprint requests to Dr Phillips, 411 Laurel, Suite 3250, Des Moines, IA 50314.

Sixteen patients (2 women, 14 men) aged 29 to 72 years with continued cardiogenic shock during intraaortic balloon pumping (IABP) had additional treatment with percutaneous cardiopulmonary bypass (PBY). Cause of cardiogenic shock was myocardial infarction in 7 (3 survived), failed percutaneous transluminal coronary angioplasty requiring emergency coronary artery bypass grafting in 5, postoperative aortic valve replacement in 1, postoperative emergency coronary artery bypass grafting in 1, after cardiac transplantation in 1, and bridging to transplantation in 1. Mean blood pressure with PBY and IABP combined was 75 mm Hg versus 60 mm Hg with IABP off. Percutaneous cardiopulmonary bypass flows ranged from 0.8 to 2.1 L/min with a mean flow of 1.3 L/min. Time on IABP ranged from 24 hours to 1 week. Time on IABP to PBY ranged from 1 to 20 hours, and time on PBY ranged from 65 minutes to 20 hours. Ten of 16 (63%) were successfully weaned, and 3 died after weaning. Seven of 16 (44%) survive. Combined IABP with PBY appears to be a better therapy than either one individually. Staging the therapy as the balloon first in and last out appears to be a good methodology.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
V. Gariboldi, D. Grisoli, A. Tarmiz, N. Jaussaud, V. Chalvignac, F. Kerbaul, and F. Collart
Mobile Extracorporeal Membrane Oxygenation Unit Expands Cardiac Assist Surgical Programs
Ann. Thorac. Surg., November 1, 2010; 90(5): 1548 - 1552.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
E. C. McGee Jr., P. M. McCarthy, and N. Moazami
Temporary Mechanical Circulatory Support
Card. Surg. Adult, January 1, 2008; 3(2008): 507 - 534.
[Full Text]

Home page
 Eur J Cardiothorac SurgHome page
K. D. Reesink, L. D. C. Sauren, A. L. A. J. Dekker, E. Severdija, T. van der Nagel, G. G. Geskes, F. H. van der Veen, and J. G. Maessen
Synchronously counterpulsating extracorporeal life support enhances myocardial working conditions regardless of systemic perfusion pressure
Eur J Cardiothorac Surg, December 1, 2005; 28(6): 790 - 796.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
A. Dekker, K. Reesink, E. van der Veen, V. van Ommen, G. Geskes, C. Soemers, and J. Maessen
Efficacy of a New Intraaortic Propeller Pump vs the Intraaortic Balloon Pump: An Animal Study
Chest, June 1, 2003; 123(6): 2089 - 2095.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
N. Moazami and P. M. McCarthy
Temporary Circulatory Support
Card. Surg. Adult, January 1, 2003; 2(2003): 495 - 520.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. V. Mulay, S. Zacharias, S. D. Hansbro, R. W. Catchpole, and R. U. Nair
Should intraaortic balloon counterpulsation be continued during cardiopulmonary bypass?
J. Thorac. Cardiovasc. Surg., December 1, 1997; 114(6): 1128 - 1129.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
A. Geppert, B. Frey, H. Gabriel, C. Kratochwill, and P. Siostrzonek
Effects of Intraaortic Balloon Pumping on Coronary and Carotid Flow During Percutaneous Cardiopulmonary Support
Ann. Thorac. Surg., May 1, 1996; 61(5): 1539 - 1541.
[Abstract] [Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F. Beyersdorf, Z. Mitrev, K. Ihnken, W. Schmiedt, K. Sarai, L. Eckel, O. Friesewinkel, G. Matheis, and G. D. Buckberg
CONTROLLED LIMB REPERFUSION IN PATIENTS HAVING CARDIAC OPERATIONS
J. Thorac. Cardiovasc. Surg., April 1, 1996; 111(4): 873 - 881.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
H. L. Lazar, P. Treanor, S. Rivers, S. Bernard, and R. J. Shemin
Combining percutaneous bypass with coronary retroperfusion limits myocardial necrosis
Ann. Thorac. Surg., February 1, 1995; 59(2): 373 - 378.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. L. Lazar, P. Treanor, X. M. Yang, S. Rivers, S. Bernard, and R. J. Shemin
Enhanced recovery of ischemic myocardium by combining percutaneous bypass with intraaortic balloon pump support
Ann. Thorac. Surg., March 1, 1994; 57(3): 663 - 668.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. J. Phillips
Emergent cardiopulmonary bypass
Ann. Thorac. Surg., May 1, 1993; 55(5): 1281 - 1282.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
J. G. Hill
Reply
Ann. Thorac. Surg., May 1, 1993; 55(5): 1282 - 1282.
[PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1992 by The Society of Thoracic Surgeons.