Reducing Perioperative Mortality with Intra-Aortic Balloon Counterpulsation (IABP)


Clinical summary

Indications

Cautions

Complications

Notes

High-risk coronary artery bypass grafting

Aortic regurgitation

Aggravation of aortic regurgitation

Imaging is required to confirm correct aortic placement of this device

Severe myocardial ischemia in non-cardiac surgery

Severe atheroma

Atheroembolism

Correct timing of balloon inflation and deflation optimizes hemodynamic benefit from this device
 
Aortic dissection

Aortic dissection
  
Aortic aneurysm

Arterial rupture
  
Aortic branch vessel occlusion
  




References



1.

Landoni G, Augoustides JG, Guarracino F et al (2011) Mortality reduction in cardiac anesthesia and intensive care: results of the first international consensus conference. Acta Anesthesiol Scand 55:259–266CrossRef


2.

Landoni G, Rodseth RN, Santini F et al (2012) Randomized evidence for reduction of perioperative mortality. J Cardiothorac Vasc Anesth 26:764–772PubMedCrossRef


3.

Peura JL, Colvin-Adams M, Francis GS et al (2012) Recommendations for the use of mechanical circulatory support: device strategies and patient selection: a scientific statement from the American Heart Association. Circulation 126:2648–2667PubMedCrossRef


4.

Levine GN, Bates ER, James C et al (2011) 2011 ACCF/AHA/SCAI guidelines for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 124:574–651CrossRef


5.

Ferguson JJ 3rd, Cohen M, Freedman RJ Jr et al (2001) The current practice of intra-aortic balloon counterpulsation: results from the Benchmark registry. J Am Coll Cardiol 38:1456–1462PubMedCrossRef

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Apr 6, 2017 | Posted by in CRITICAL CARE | Comments Off on Reducing Perioperative Mortality with Intra-Aortic Balloon Counterpulsation (IABP)

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