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Updated: Jul 20, 2026

The Intra-Aortic Balloon Pump
Published on: February 5, 2021
[Treatment of cardiac failure with an intra-aortic balloon pump]
Harald Brunvand1, Erik Kongsgård, Thor Edvardsen
1Hjertemedisinsk avdeling Rikshospitalet 0027 Oslo. harald.brunvand@sshf.no
Insights
Intra-aortic balloon pump (IABP) therapy effectively stabilizes patients with decompensated heart failure and hypotension. This safe treatment improves blood pressure and urine output, showing promise in managing critical cardiac conditions.
Area of Science:
- Cardiology
- Critical Care Medicine
- Medical Devices
Context:
- Cardiogenic shock carries a high mortality rate.
- Decompensated heart failure with hypotension presents a significant clinical challenge.
- Intra-aortic balloon pump (IABP) is a mechanical circulatory support device.
Purpose:
- To evaluate the efficacy and safety of IABP in patients with decompensated heart failure and hypotension.
- To assess the impact of IABP on hemodynamic parameters and clinical outcomes.
- To analyze complication rates associated with IABP use in this patient population.
Summary:
- A retrospective study analyzed 94 patients treated with IABP for decompensated heart failure and hypotension.
- IABP use led to significant improvements in systolic blood pressure and diuresis.
- The 30-day mortality was 24%, with a low rate of IABP-related complications.
Impact:
- IABP serves as an efficient and safe stabilizing treatment for patients with decompensated heart failure and hypotension.
- The findings support the use of IABP in managing critically ill cardiac patients.
- This study contributes to understanding the role of mechanical circulatory support in severe heart failure.
Background:
Cardiogenic shock is associated with high mortality. This retrospective study examined the effect of an intra aortic balloon pump (IABP) in patients with decompensated heart failure and hypotension, with or without cardiogenic shock.
Material And Methods:
94 patients were treated with IABP from January 1998 to December 2002, at the Department of Cardiology, Rikshospitalet University Hospital, Oslo, Norway. The indications for use of IABP were decompensated heart failure with hypotension with or without cardiogenic shock in patients with acute myocardial infarction (n = 41), ventricular septal rupture or mitral insufficiency as a complication to acute cardiac failure (n = 23), severe heart failure waiting for heart transplant (n = 10), unstable angina pectoris (n = 8), myocarditis (n = 6) and miscellaneous (n = 6).
Results:
Mortality after 30 days was 24 % for all patients, with little variation between the above-mentioned subgroups. Median duration for IABP was 96 hours. Systolic blood pressure and diuresis per hour increased significantly from before to after application of IABP (35 +/- 34 mL/hour versus 95 +/- 77 mL/hour, p < 0.001 and 90 +/- 20 mmHg versus 115 +/- 22 mmHg, p < 0.001). The rate of complications requiring treatment was low with use of IABP (5 out of 94 patients).
Interpretation:
Treatment with IABP in patients with decompensated heart failure and hypotension is an efficient stabilising treatment and safe to use.
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