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Updated: Jul 20, 2026

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.
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.
Abstract:
We examined the pulsatility generated by an intra-aortic balloon pump/centrifugal pump (IABP/CP) combination in terms of energy equivalent pressure (EEP) and surplus hemodynamic energy (SHE). In five cardiac-arrested pigs, the outflow cannula of the CP was inserted into the ascending aorta, the inflow cannula in the right atrium. A 30-ml IABP was subsequently placed in the descending aorta. Extracorporeal circulation was maintained for 30 minutes using a pump flow of 75 ml/kg per minute by CP alone or by IABP/CP with pressure and flow measured in the right internal carotid artery. The IABP/CP combination converted the flow to pulsatile and increased pulse pressure significantly from 9.1 +/- 1.3 mm Hg to 54.9 +/- 6.1 mm Hg (p = 0.012). It also significantly increased the percent change from mean arterial pressure to EEP from 0.2 +/- 0.3% to 23.3 +/- 6.1% (p = 0.012) and SHE from 133.2 +/- 234.5 erg/cm to 20,219.8 +/- 5842.7 erg/cm3 (p = 0.012). However, no statistical difference was observed between CP and IABP/CP in terms of mean carotid artery pressure (p = NS). In a cardiac-arrested animal model, pulsatility generated by a IABP/CP combination may be effective in terms of energy equivalent pressure and surplus hemodynamic energy.
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