The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome.
Akbar, Mohammad Tauqeer
AffiliationRoyal Victoria Hospital, Cardiothoracic Department, Belfast, Nothern Ireland. email@example.com
Local subject classificationCARDIOTHORACIC SURGERY
Cardiac Surgical Procedures
Coronary Artery Bypass
Intra-Aortic Balloon Pumping
MetadataShow full item record
CitationThe need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. 2010, 5:20 J Cardiothorac Surg
JournalJournal of cardiothoracic surgery
AbstractBACKGROUND: The early and intermediate outcome of patients requiring intraaortic balloon pump (IABP) was studied in a cohort of 2697 adult cardiac surgical patients. METHODS: 136 patients requiring IABP (5.04%) support analysed over a 4 year period. Prospective data collection, obtained. RESULTS: The overall operative mortality was 35.3%. The "operation specific" mortality was higher on the Valve population.The mortality (%) as per time of balloon insertion was: Preoperative 18.2, Intraoperative 33.3, postoperative 58.3 (p < 0.05).The incremental risk factors for death were: Female gender (Odds Ratio (OR) = 3.87 with Confidence Intervals (CI) = 1.3-11.6), Smoking (OR = 4.88, CI = 1.23- 19.37), Preoperative Creatinine>120 (OR = 3.3, CI = 1.14-9.7), Cross Clamp time>80 min (OR = 4.16, CI = 1.73-9.98) and IABP insertion postoperatively (OR = 19.19, CI = 3.16-116.47).The incremental risk factors for the development of complications were: Poor EF (OR = 3.16, CI = 0.87-11.52), Euroscore >7 (OR = 2.99, CI = 1.14-7.88), history of PVD (OR = 4.99, CI = 1.32-18.86).The 5 years survival was 79.2% for the CABG population and 71.5% for the valve group. (Hazard ratio = 1.78, CI = 0.92-3.46). CONCLUSIONS: IABP represents a safe option of supporting the failing heart. The need for IABP especially in a high risk Valve population is associated with early unfavourable outcome, however the positive mid term results further justify its use.
- EuroSCORE directed intraaortic balloon pump placement in high-risk patients undergoing cardiac surgery--retrospective analysis of 267 patients.
- Authors: Diez C, Silber RE, Wächner M, Stiller M, Hofmann HS
- Issue date: 2008 May
- Cardiopulmonary bypass and intra-aortic balloon pump use is associated with higher short and long term mortality after transcatheter aortic valve replacement: a PARTNER trial substudy.
- Authors: Shreenivas SS, Lilly SM, Szeto WY, Desai N, Anwaruddin S, Bavaria JE, Hudock KM, Thourani VH, Makkar R, Pichard A, Webb J, Dewey T, Kapadia S, Suri RM, Xu K, Leon MB, Herrmann HC
- Issue date: 2015 Aug
- Preoperative intra-aortic counterpulsation in high-risk patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials†.
- Authors: Pilarczyk K, Boening A, Jakob H, Langebartels G, Markewitz A, Haake N, Heringlake M, Trummer G
- Issue date: 2016 Jan
- Long-term outcomes of coronary artery bypass grafting patients supported preoperatively with an intra-aortic balloon pump.
- Authors: Hemo E, Medalion B, Mohr R, Paz Y, Kramer A, Uretzky G, Nesher N, Pevni D
- Issue date: 2014 Nov
- Early mortality predictors in coronary artery bypass grafting patients required intra-aortic balloon pump in perioperative and postoperative periods.
- Authors: Karimi A, Ahmadi H, Davoodi S, Marzban M, Movahedi N, Abbasi K, Salehiomran A, Sadeghian S, Hesameddin Abbasi S, Yazdanifard P
- Issue date: 2008 Feb