Peripheral hemodynamics in assisted circulation with intra-aortic balloon pumping in patients with cardiogenic shock

Seven patients treated for cardiogenic shock were studied with and without intra-aortic balloon pumping (IABP). Calf and forearm blood flows were determined with a Dohn plethysmograph and arterial pressures were registered intra-arterially and in the great toe and thumb with the cuff method. During IABP, an augmented flow was registered in the arms and legs and accurate arterial BPs could also be determined from the extremities. The findings demonstrate a beneficial effect of IABP on peripheral flow, expecially in patients who could be weaned off the pump.