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


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
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 Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Stamatelopoulos, S. F.
Right arrow Articles by Moulopoulos, S. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stamatelopoulos, S. F.
Right arrow Articles by Moulopoulos, S. D.

Ann Thorac Surg 1996;62:1110-1117
© 1996 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Treating Severe Cardiogenic Shock by Large Counterpulsation Volumes

Stamatios F. Stamatelopoulos, MD, PhD, John N. Nanas, MD, PhD, Nikolaos S. Saridakis, MD, Nikolaos A. Zakopoulos, MD, Stavros Lyropoulos, MD, George Makrakis, MD, Andrew Liberidis, MD, Spyridon D. Moulopoulos, MD, PhD

Department of Clinical Therapeutics, Athens University Medical School, Athens, Greece

Accepted for publication April 26, 1996.

Background. Intraaortic balloon pumping is known to be ineffective in severe cardiogenic shock. The efficacy of balloon volumes larger than those commonly used is examined.

Methods. In 18 dogs with severe experimental cardiogenic shock (systolic aortic pressure <60 mm Hg, aortic flow <45 mL•min-1•kg-1) the effect of three intraaortic balloon volumes (15, 30, and 45 mL) and a 60-mL paraaortic pump was examined.

Results. The 45-mL balloon covering the full length of the aorta induced the highest (+12.4 ± 2.2 mL•min-1•kg-1; mean ± standard error of the mean) and the 15-mL balloon the lowest increase in aortic flow (F = 14.6, p < 0.0001). Only the 45-mL balloon increased (p < 0.05) urine output and renal artery flow. The 60-mL paraaortic pump induced the highest (F = 10.72, p < 0.002) increase (+36.6 ± 6.5 mL•min-1•kg-1) in aortic flow compared to the three balloons. An 80- to 100-mL paraaortic pump maintained the life of 3 patients in severe cardiogenic shock for 4 hours, 8 days, and 54 days, whereas a 40-mL conventional balloon was completely ineffective.

Conclusions. Experimental and clinical data indicate that the effectiveness of intraaortic balloon pumping in severe cardiogenic shock may be improved by increasing the volume of the balloon (ie, until it fully occupies the aorta).




This article has been cited by other articles:


Home page
 J. Appl. Physiol.Home page
C. Kolyva, G. M. Pantalos, G. A. Giridharan, J. R. Pepper, and A. W. Khir
Discerning aortic waves during intra-aortic balloon pumping and their relation to benefits of counterpulsation in humans
J Appl Physiol, November 1, 2009; 107(5): 1497 - 1503.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
J.-T. Kim, J.-R. Lee, J.-K. Kim, S. Z. Yoon, Y. Jeon, J.-H. Bahk, K.-B. Kim, C.-S. Kim, Y.-J. Lim, H.-S. Kim, et al.
The Carina as a Useful Radiographic Landmark for Positioning the Intraaortic Balloon Pump
Anesth. Analg., September 1, 2007; 105(3): 735 - 738.
[Abstract] [Full Text] [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 © 1996 by The Society of Thoracic Surgeons.