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Updated: Dec 14, 2025

The Intra-Aortic Balloon Pump
Published on: February 5, 2021
Balloon Pump Counterpulsation Part II: Perioperative Hemodynamic Support and New Directions
Laura S González1, Mark A Chaney2
1From the Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Abstract:
Intraaortic balloon pump (IABP) counterpulsation, introduced more than 50 years ago, remains the most commonly utilized mechanical circulatory support device for patients with cardiogenic shock and myocardial ischemia, despite lack of definitive proof regarding its outcome in these patients. Part I of this review focused on the history of counterpulsation, physiologic principles, technical considerations, and evidence for its use in cardiogenic shock; Part II will discuss periprocedural uses for IABP counterpulsation and review advances in technology, including the emergence of alternative mechanical circulatory support devices that have influenced IABP utilization.
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