| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;65:741-747
© 1998 The Society of Thoracic Surgeons
Department of Surgery A, Rikshospitalet, Oslo, Norway
Accepted for publication September 29, 1997.
Dr Arafa, Department of Surgery A, Rikshospitalet, 0027 Oslo, Norway.
Background. The intraaortic balloon pump (IABP) is the primary mechanical device used for perioperative cardiac failure.
Methods. We analyzed the prognostic predictors and long-term survival of 344 patients undergoing cardiac operations who required the perioperative use of an IABP at our institution from January 1980 to December 1989. Hospital survivors (163 patients) were followed up for a mean of 7.45 years (range, 1 month to 15.3 years); cumulative follow-up included 1,167 patient-years.
Results. The early mortality rate was 52.6% (181 patients). From parameters available at the time of IABP insertion, logistic regression analysis identified preoperative serum creatinine level, left ventricular ejection fraction, perioperative myocardial infarction, timing of IABP insertion, and indication for operation as independent predictors of early (30-day) death (p < 0.05). Cox regression analysis of hospital survivors identified timing of IABP insertion, perfusion time, and preoperative serum creatinine level as independent prognostic factors for late death (p < 0.05), whereas patient age was only marginally significant (p < 0.06). There was no association between IABP-related complications and death. Survival analysis demonstrated a 10-year actual survival rate of 22.04% ± 0.023%, with 57 patients still at risk and significantly improved survival among those who received an IABP before operation (p < 0.02).
Conclusions. The early mortality rate in patients who received an IABP was high. Hospital survivors had a relatively good long-term prognosis. The significantly better short- and long-term survival of patients who received an IABP before operation may justify more liberal preoperative use of the IABP in high-risk patients.
This article has been cited by other articles:
|
|
 |
|
  A. Karimi, N. Movahedi, A. Salehiomran, M. Marzban, S. Hesameddin Abbasi, and P. Yazdanifard Mortality in Open Heart Surgery with Intraaortic Balloon Pump Support Asian Cardiovasc Thorac Ann, August 1, 2008; 16(4): 301 - 304. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. V. Hein, J. Birnbaum, K. Wernecke, M. England, W. Konertz, and C. Spies Prolonged Intensive Care Unit Stay in Cardiac Surgery: Risk Factors and Long-Term-Survival. Ann. Thorac. Surg., March 1, 2006; 81(3): 880 - 885. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Reid and D. Cottrell Nursing Care of Patients Receiving: Intra-aortic Balloon Counterpulsation Crit. Care Nurse, October 1, 2005; 25(5): 40 - 49. [Full Text] [PDF]
|
|
|
|
 |
|
 I. R. Ramnarine, A. D. Grayson, W. C. Dihmis, N. K. Mediratta, B. M. Fabri, and J. A.C. Chalmers Timing of intra-aortic balloon pump support and 1-year survival Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 887 - 892. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Onorati, M. De Feo, P. Mastroroberto, L. Cristodoro, F. Pezzo, A. Renzulli, and M. Cotrufo Determinants and Prognosis of Myocardial Damage After Coronary Artery Bypass Grafting Ann. Thorac. Surg., March 1, 2005; 79(3): 837 - 845. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Suzuki, M. Okabe, M. Handa, F. Yasuda, and Y. Miyake Usefulness of preoperative intraaortic balloon pump therapy during off-pump coronary artery bypass grafting in high-risk patients Ann. Thorac. Surg., June 1, 2004; 77(6): 2056 - 2059. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. F. Baskett, G. T. O'Connor, G. M. Hirsch, W. A. Ghali, K. Sabadosa, J. R. Morton, C. S. Ross, F. Hernandez, W. C. Nugent Jr, S. J. Lahey, et al. A multicenter comparison of intraaortic balloon pump utilization in isolated coronary artery bypass graft surgery Ann. Thorac. Surg., December 1, 2003; 76(6): 1988 - 1992. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. W. Khir, S. Price, M. Y. Henein, K. H. Parker, and J. R. Pepper Intra-aortic balloon pumping: effects on left ventricular diastolic function Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 277 - 282. [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]
|
|
|
|
|
|
Z. S. Meharwal and N. Trehan Vascular complications of intra-aortic balloon insertion in patients undergoing coronary reavscularization: analysis of 911 cases Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 741 - 747. [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]
|
|
|
|
 |
|
 B. Meyns, P. Sergeant, P. Wouters, F. Casselman, P. Herijgers, W. Daenen, K. Bogaerts, and W. Flameng Mechanical support with microaxial blood pumps for postcardiotomy left ventricular failure: Can outcome be predicted? J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 393 - 400. [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]
|
|
|
|
|
|
D. E. Gutfinger, R. A. Ott, M. Miller, A. Selvan, M. A. Codini, H. Alimadadian, and T. M. Tanner Aggressive preoperative use of intraaortic balloon pump in elderly patients undergoing coronary artery bypass grafting Ann. Thorac. Surg., March 1, 1999; 67(3): 610 - 613. [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 |
