Korean J Thorac Cardiovasc Surg.  2002 Jun;35(6):449-453.

Efficacy of Intra-Aortic Balloon Pump in Postcardiotomy Cardiogenic Shock

• Chang JW
• Min SK
• Won TH
• Ahn JH

Abstract

BACKGROUND: Intra-aortic balloon pump (IABP)is well known for its hemodynamic benefit but still has its own complications.Proper use of IABP is the best way t o obt ai n maximum benefit with low complication rate. MATERIALS AND METHOD: Twenty one(men 10,female 11) patients were included in this study among the 100 consecutive adult cardiac surgery patients in our hospital.Eighteen(85.7%)were ischemic heart disease patients.They all received IABP therapy due to postcardiotomy cardiogenic shock according to the well-known indications.Their preoperative conditions,intraoperative factors including hemodynamics, postoperative conditions and IABP-related complications were analyzed. RESULT: Nineteen patients(90.5%)were successfully weaned from IABP.There were 2 patients of operative death and the mortality rate was 9.5%.Duration of IABP use was 40.7+/-24.3 hours.There were 2 cases(9.5%)of IABP-related vascular complications that required surgical intervention.
CONCLUSION
We concluded that IABP could be used effectively and safely for postcardiotomy cardiogenic shock patients with low complication rate.

Keyword

Shock,cardiogenic; Intra-aortic balloon pump

MeSH Terms

Adult
Hemodynamics
Humans
Mortality
Myocardial Ischemia
Shock, Cardiogenic*
Thoracic Surgery