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06:13
The Intra-Aortic Balloon Pump
Published on: February 5, 2021
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Intra-aortic balloon pump experience: a single center study comparing with and without sheath insertion.
Yücel Özen1, Mehmet Aksut1, Davut Cekmecelioglu1
1Kartal Kosuyolu Heart Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey.
Journal of Cardiovascular and Thoracic Research
|November 3, 2018
Summary
Intra-aortic balloon pump (IABP) use is common for low cardiac output. Leg ischemia is the most frequent complication, but IABP use without a sheath may prevent it.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Devices
Background:
- Intra-aortic balloon pump (IABP) is a primary mechanical circulatory support for low cardiac output.
- IABP is used for ischemic heart disease, left ventricle dysfunction, and post-coronary artery bypass surgery complications.
Purpose of the Study:
- To analyze the usage frequency and complication rates of IABP over 28 years.
- To identify the most common complications and evaluate preventative strategies.
Main Methods:
- Retrospective analysis of 3135 patients receiving IABP support between 1985 and 2013.
- Data collected on patient demographics, indications for IABP, insertion sites, and complications.
Main Results:
- IABP was used in 3135 patients, most frequently for coronary artery disease (70%).
- Lower extremity ischemia was the most common complication (12.2%), significantly higher with sheath use.
- Mortality directly attributed to IABP was low (5 patients).
Conclusions:
- IABP remains a critical support device, but catheter-related complications persist.
- Using IABP without a sheath may reduce the incidence of leg ischemia.
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