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The Intra-Aortic Balloon Pump
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The Intra-Aortic Balloon Pump

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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
PubMed

Insights

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.

Keywords:
Intra-aortic Balloon PumpMechanical SupportSheath UsageVascular Access

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