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Updated: Jul 20, 2026

The Intra-Aortic Balloon Pump
06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

Hemodynamic energy generated by a combined centrifugal pump with an intra-aortic balloon pump

Choon Hak Lim1, Ho Sung Son, Yung Hu Fang

  • 1Anesthesiology and Pain Medicine, Korea University, Seoul, Korea.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|September 13, 2006
PubMed

Insights

The intra-aortic balloon pump/centrifugal pump (IABP/CP) combination effectively generated pulsatile flow, significantly increasing pulse pressure, energy equivalent pressure (EEP), and surplus hemodynamic energy (SHE) in a cardiac-arrested pig model.

Area of Science:

  • Cardiovascular Physiology
  • Biomedical Engineering
  • Hemodynamics

Background:

  • Mechanical circulatory support aims to restore hemodynamic function.
  • Assessing the pulsatility and energy transfer of combined devices is crucial for optimizing circulatory support.

Purpose of the Study:

  • To evaluate the pulsatility and hemodynamic energy generated by an intra-aortic balloon pump/centrifugal pump (IABP/CP) combination.
  • To compare the hemodynamic effects of CP alone versus IABP/CP in a cardiac-arrested animal model.

Main Methods:

  • Utilized a cardiac-arrested pig model with cannulation of the right atrium and ascending aorta for extracorporeal circulation.
  • Integrated an intra-aortic balloon pump (IABP) into the descending aorta alongside the centrifugal pump (CP).
  • Measured hemodynamic parameters including pulse pressure, energy equivalent pressure (EEP), and surplus hemodynamic energy (SHE) in the carotid artery.

Main Results:

  • The IABP/CP combination significantly increased pulse pressure from 9.1 +/- 1.3 mm Hg to 54.9 +/- 6.1 mm Hg (p = 0.012).
  • A significant increase in the percent change from mean arterial pressure to EEP (0.2 +/- 0.3% to 23.3 +/- 6.1%, p = 0.012) and SHE (133.2 +/- 234.5 erg/cm to 20,219.8 +/- 5842.7 erg/cm3, p = 0.012) was observed with IABP/CP.
  • No significant difference in mean carotid artery pressure was found between CP alone and IABP/CP.

Conclusions:

  • The IABP/CP combination effectively converts non-pulsatile flow to pulsatile flow.
  • This combination significantly enhances hemodynamic energy parameters (EEP and SHE), suggesting improved circulatory support.
  • The IABP/CP system shows promise for augmenting pulsatility in mechanical circulatory support, particularly in critical care settings.

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