|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 2001; 38:1456-1462 © 2001 by the American College of Cardiology Foundation |
* Texas Heart Institute, Houston, Texas, USA
Hahnemann University Hospital, Philadelphia, Pennsylvania, USA
Tulane University Medical Center, New Orleans, Louisiana, USA
Cardiology Research Foundation, Washington, DC, USA
|| M. F. Miller Statistical Services, Langhorne, Pennsylvania, USA
¶ Datascope Corp., Fairfield, New Jersey, USA
# University of North Carolina, Chapel Hill, North Carolina, USA
Manuscript received May 22, 2001; accepted July 23, 2001.
* Reprint requests and correspondence to: Dr. James J. Ferguson III, Texas Heart Institute Cardiology Research, MC1-191, 1101 Bates Street, Houston, Texas 77030 USA
jferguson{at}heart.thi.tmc.edu
OBJECTIVES
This study presents clinical data from the first large registry of aortic counterpulsation, a computerized database that incorporates prospectively gathered data on indications for intra-aortic balloon counterpulsation (IABP) use, patient demographics, concomitant medication and in-hospital outcomes and complications.
BACKGROUND
The intra-aortic balloon pump (IABP) is widely used to provide circulatory support for patients experiencing hemodynamic instability due to myocardial infarction, cardiogenic shock, or in very high risk patients undergoing angioplasty or coronary artery bypass grafting.
METHODS
Between June 1996 and August 2000, 203 hospitals worldwide (90% U.S., 10% non-U.S.) collected 16,909 patient case records (68.8% men, 31.2% women; mean age 65.9 ± 11.7 years).
RESULTS
The most frequent indications for use of IABP were as follows: to provide hemodynamic support during or after cardiac catheterization (20.6%), cardiogenic shock (18.8%), weaning from cardiopulmonary bypass (16.1%), preoperative use in high risk patients (13.0%) and refractory unstable angina (12.3%). Major IABP complications (major limb ischemia, severe bleeding, balloon leak, death directly due to IABP insertion or failure) occurred in 2.6% of cases; in-hospital mortality was 21.2% (11.6% with the balloon in place). Female gender, high age and peripheral vascular disease were independent predictors of a serious complication.
CONCLUSIONS
This registry provides a useful tool for monitoring the evolving practice of IABP. In the modern-day practice of IABP, complication rates are generally low, although in-hospital mortality remains high. There is an increased risk of major complications in women, older patients and patients with peripheral vascular disease.
| ||||||||||||||||
This article has been cited by other articles:
|
|
 |
|
  C. Diez, R.-E. Silber, M. Wachner, M. Stiller, and H.-S. Hofmann EuroSCORE directed intraaortic balloon pump placement in high-risk patients undergoing cardiac surgery - retrospective analysis of 267 patients Interactive CardioVascular and Thoracic Surgery, June 1, 2008; 7(3): 389 - 395. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. T Christenson, J. Sierra, J.-A. Romand, M. Licker, and A. Kalangos Long Intraaortic Balloon Treatment Time Leads to More Vascular Complications Asian Cardiovasc Thorac Ann, October 1, 2007; 15(5): 408 - 412. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Nikolsky, R. Mehran, G. Dangas, M. Fahy, Y. Na, S. J. Pocock, A. M. Lincoff, and G. W. Stone Development and validation of a prognostic risk score for major bleeding in patients undergoing percutaneous coronary intervention via the femoral approach Eur. Heart J., August 2, 2007; 28(16): 1936 - 1945. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Onorati, L. Cristodoro, P. Mastroroberto, A. di Virgilio, A. Esposito, M. Bilotta, and A. Renzulli Should We Discontinue Intraaortic Balloon During Cardioplegic Arrest? Splanchnic Function Results of a Prospective Randomized Trial Ann. Thorac. Surg., December 1, 2005; 80(6): 2221 - 2228. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Reid and D. Cottrell Nursing Care of Patients Receiving: Intra-aortic Balloon Counterpulsation Crit. Care Nurse, October 1, 2005; 25(5): 40 - 49. [Full Text] [PDF]
|
|
|
|
|
|
C. F. Azevedo, L. C. Amado, D. L. Kraitchman, B. L. Gerber, T. Edvardsen, N. F. Osman, C. E. Rochitte, K. C. Wu, and J. A.C. Lima The effect of intra-aortic balloon counterpulsation on left ventricular functional recovery early after acute myocardial infarction: a randomized experimental magnetic resonance imaging study Eur. Heart J., June 2, 2005; 26(12): 1235 - 1241. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. R. Ramnarine, A. D. Grayson, W. C. Dihmis, N. K. Mediratta, B. M. Fabri, and J. A.C. Chalmers Timing of intra-aortic balloon pump support and 1-year survival Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 887 - 892. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Mand'ak, V. Lonsky, J. Dominik, and P. Zacek Vascular Complications of the Intra-aortic Balloon Counterpulsation Angiology, January 1, 2005; 56(1): 69 - 74. [Abstract] [PDF]
|
|
|
|
|
|
P. Tozzi, A.F. Corno, L.V. Lapanashvili, and L.K. von Segesser Muscular counterpulsation: preliminary results of a non-invasive alternative to intra-aortic balloon pump Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 726 - 729. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Aydin, O. Kandemir, S. Gunaydin, and Y. Zorlutuna A peeled off and entrapped intraaortic balloon catheter in the femoral artery: an unusual complication Interactive CardioVascular and Thoracic Surgery, June 1, 2004; 3(2): 314 - 316. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G H Linley, E W Bakker, R de Vroege, and J J Spijkstra When the blood-back detection system fails: an IABP case report Perfusion, December 1, 2003; 18(6): 369 - 371. [Abstract] [PDF]
|
|
|
|
|
|
M. Cohen, P. Urban, J. T. Christenson, D. L. Joseph, R. J. Freedman Jr, M. F. Miller, E.M. Ohman, R. C. Reddy, G. W. Stone, J. J. Ferguson III, et al. Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark(R) Registry Eur. Heart J., October 1, 2003; 24(19): 1763 - 1770. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. W. Chen, J. G. Canto, L. S. Parsons, E. D. Peterson, K. A. Littrell, N. R. Every, C. M. Gibson, J. S. Hochman, E. M. Ohman, M. Cheeks, et al. Relation Between Hospital Intra-Aortic Balloon Counterpulsation Volume and Mortality in Acute Myocardial Infarction Complicated by Cardiogenic Shock Circulation, August 26, 2003; 108(8): 951 - 957. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. W. Khir, S. Price, M. Y. Henein, K. H. Parker, and J. R. Pepper Intra-aortic balloon pumping: effects on left ventricular diastolic function Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 277 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. W. Stone, E. M. Ohman, M. F. Miller, D. L. Joseph, J. T. Christenson, M. Cohen, P. M. Urban, R. C. Reddy, R. J. Freedman, K. L. Staman, et al. Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: The benchmark registry J. Am. Coll. Cardiol., June 4, 2003; 41(11): 1940 - 1945. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. S. Mahadevan, D. McCarty, and A. A. J. Adgey Platelet GPIIb/IIIa receptor blockers for failed thrombolysis in acute myocardial infarction, alone or as adjunct to other rescue therapies Eur. Heart J., October 1, 2002; 23(19): 1490 - 1491. [Full Text] [PDF]
|
|
|
|
|
|
J. T. Christenson, M. Cohen, J. J. Ferguson III, R. J. Freedman, M. F. Miller, E. M. Ohman, R. C. Reddy, G. W. Stone, and P. M. Urban Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1086 - 1090. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Naughton and C. A. Bashour Mechanical Support After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2002; 6(3): 237 - 257. [Abstract] [PDF]
|
|
|
|
|
|
P. Menon, P. Totaro, A. Youhana, and V. Argano Reduced vascular complication after IABP insertion using smaller sized catheter and sheathless technique Eur. J. Cardiothorac. Surg., September 1, 2002; 22(3): 491 - 492. [Full Text] [PDF]
|
|
|
|
|
|
Z. S. Meharwal and N. Trehan Vascular complications of intra-aortic balloon insertion in patients undergoing coronary reavscularization: analysis of 911 cases Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 741 - 747. [Abstract] [Full Text] [PDF]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
