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Ann Thorac Surg 1996;61:1539-1541
© 1996 The Society of Thoracic Surgeons

Case Report

Effects of Intraaortic Balloon Pumping on Coronary and Carotid Flow During Percutaneous Cardiopulmonary Support

Alexander Geppert, MD, Bernhard Frey, MD, Harald Gabriel, MD, Christoph Kratochwill, MD, Peter Siostrzonek, MD

Department of Cardiology, University of Vienna, Vienna, Austria

Accepted for publication November 16, 1995.

Previous studies have suggested an improved clinical outcome when percutaneous cardiopulmonary support is combined with intraaortic balloon counterpulsation in patients with cardiogenic shock. We evaluated the effect of combined intraaortic balloon counterpulsation and percutaneous cardiopulmonary support therapy on coronary and cerebral blood flow by Doppler measurements in the coronary and the carotid arteries in a patient with cardiac arrest. During pacemaker stimulation, intraaortic balloon counterpulsation in addition to percutaneous cardiopulmonary support markedly improved coronary and carotid blood flow. Possible mechanisms are discussed.






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Copyright © 1996 by The Society of Thoracic Surgeons.