| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 1654-1660, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
KS Naunheim, MT Swartz, DG Pennington, AC Fiore, LR McBride, PS Peigh, MG Barnett, KJ Vaca, GC Kaiser and VL Willman
The intraaortic balloon pump is usually the first mechanical device
inserted for perioperative cardiac failure; however, little current
information is available regarding short- and long-term effectiveness. From
January 1983 through November 1990, 6856 adult patients underwent cardiac
surgical procedures, 580 of whom (8.5%) had an intraaortic balloon inserted
preoperatively (107 patients), intraoperatively (419 patients), or
postoperatively (54 patients). There were 374 men and 206 women with a mean
age of 63.9 years (range 19 to 88). Operations included 376 coronary artery
bypass grafts, 100 mitral valve replacements (with or without bypass
grafting), 70 aortic valve replacements (with or without bypass grafting),
15 double valve replacements (with or without bypass grafting), and 32
other procedures. There were 72 (12.4%) complications related to the
balloon pump, of which 42 necessitated surgical intervention including
thrombectomy (21), vascular repair (13), fasciotomy (2), aortic repair (1),
and amputation (4). Operative mortality for patients supported by the
balloon pump was 44%. Multivariate stepwise analysis of 27 parameters
revealed six independent predictors of mortality: preoperative New York
Heart Association class, transthoracic intraaortic balloon insertion (both
p < 0.0001), preoperative administration of intravenous nitroglycerin,
age, female gender, and preoperative balloon insertion (p < 0.001).
Balloon-related complications were not predictive of death. Of the 326
hospital survivors, only 34 were lost to follow-up. There were 75 late
deaths, the cause of which was cardiac in 41 (55%), noncardiac in 20 (27%),
and unknown in 14 (19%). Actuarial survivals at 1, 5, and 9 years are 51%,
42%, and 33%. Of the 217 hospital survivors still alive and contacted, 81%
were in class I (114) or II (60). These data demonstrate (1) operative
mortality for patients requiring an intraaortic balloon in the
perioperative period remains high, (2) perioperative risk factors can be
identified, (3) complications related to the balloon pump do not affect
survival, (4) operative survivors can achieve prolonged survival with
excellent functional results, and (5) consideration for alternative methods
of circulatory support is justified.
ARTICLES
Intraaortic balloon pumping in patients requiring cardiac operations. Risk analysis and long-term follow-up
Department of Surgery, St. Louis University Medical Center, MO 63110- 0250.
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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 J. D. Adams, L. M. Fedoruk, C. A. Tache-Leon, B. B. Peeler, J. A. Kern, C. G. Tribble, J. D. Bergin, and I. L. Kron Does Preoperative Ejection Fraction Predict Operative Mortality With Left Ventricular Restoration? Ann. Thorac. Surg., November 1, 2006; 82(5): 1715 - 1720. [Abstract] [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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
R. Salenger, J. S. Gammie, and T. J. Vander Salm Postoperative Care of Cardiac Surgical Patients Card. Surg. Adult, January 1, 2003; 2(2003): 439 - 469. [Full Text]
|
|
|
|
|
|
N. Moazami and P. M. McCarthy Temporary Circulatory Support Card. Surg. Adult, January 1, 2003; 2(2003): 495 - 520. [Full Text]
|
|
|
|
|
|
J. T. Christenson, M. Cohen, J. J. Ferguson III, R. J. Freedman, M. F. Miller, E. M. Ohman, R. C. Reddy, G. W. Stone, and P. M. Urban Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1086 - 1090. [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]
|
|
|
|
|
|
A. R. Davies, R. Bellomo, J. S. Raman, G. A. Gutteridge, and B. F. Buxton High lactate predicts the failure of intraaortic balloon pumping after cardiac surgery Ann. Thorac. Surg., May 1, 2001; 71(5): 1415 - 1420. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Craver and C. P. Murrah Elective intraaortic balloon counterpulsation for high-risk off-pump coronary artery bypass operations Ann. Thorac. Surg., April 1, 2001; 71(4): 1220 - 1223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Christenson, F. Simonet, and M. Schmuziger Economic impact of preoperative intraaortic balloon pump therapy in high-risk coronary patients Ann. Thorac. Surg., August 1, 2000; 70(2): 510 - 515. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Christenson Preoperative intraaortic balloon therapy Ann. Thorac. Surg., October 1, 1999; 68(4): 1438 - 1438. [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]
|
|
|
|
|
|
O. E. Arafa, T. H. Pedersen, J. L. Svennevig, E. Fosse, and O. R. Geiran Vascular complications of the intraaortic balloon pump in patients undergoing open heart operations: 15-year experience Ann. Thorac. Surg., March 1, 1999; 67(3): 645 - 651. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. L. Lazar, Y. Bao, S. Rivers, P. R. Treanor, and R. J. Shemin Decreased incidence of arterial thrombosis using heparin-bonded intraaortic balloons Ann. Thorac. Surg., February 1, 1999; 67(2): 446 - 449. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. E. Arafa, T. H. Pedersen, J. L. Svennevig, E. Fosse, and O. R. Geiran Intraaortic Balloon Pump in Open Heart Operations: 10-Year Follow-up With Risk Analysis Ann. Thorac. Surg., March 1, 1998; 65(3): 741 - 747. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Christenson, P. Badel, F. Simonet, and M. Schmuziger Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG Ann. Thorac. Surg., November 1, 1997; 64(5): 1237 - 1244. [Abstract] [Full Text]
|
|
|
|
 |
|
 D. F. Torchiana, G. Hirsch, M. J. Buckley, C. Hahn, J. W. Allyn, C. W. Akins, J. F. Drake, J. B. Newell, and W. G. Austen INTRAAORTIC BALLOON PUMPING FOR CARDIAC SUPPORT: TRENDS IN PRACTICE AND OUTCOME, 1968 TO 1995 J. Thorac. Cardiovasc. Surg., April 1, 1997; 113(4): 758 - 769. [Abstract] [Full Text]
|
|
| 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 |
