Key result
Operative and early postoperative use of intra-aortic balloon counterpulsation in patients with documented heart disease undergoing major non-cardiac surgical procedures may reduce cardiac complications.
Why the study?
Does intra-aortic balloon counterpulsation reduce cardiac complications in patients with heart disease undergoing major abdominal surgery?
Case Report (n=3)
Does intra-aortic balloon counterpulsation reduce cardiac complications in patients with heart disease undergoing major abdominal surgery?
Prophylactic use of intra-aortic balloon counterpulsation may be a viable strategy to reduce cardiac complications in patients with significant heart disease requiring urgent major non-cardiac surgery.
May support evaluation of prophylactic IABP in high-risk noncardiac surgery; hypothesis-generating and requires prospective validation.
Intra-aortic balloon counterpulsation (IABC) provides effective mechanical circulatory assistance (MCA) in many patients with cardiac disease characterized by low cardiac output and/or myocardial ischemia. The intra-aortic balloon pump (IABP) has been used almost exclusively in the care of patients with cardiac disease as their primary medical disorder. This report presents use of the IABP in three cases where cardiac disease was present, but abdominal pathology necessitating urgent surgical intervention was the primary medical concern. Experience with these three cases suggest that operative and early postoperative use of IABC in patients with documented heart disease undergoing major non-cardiac surgical procedures may reduce the high incidence of cardiac complications.
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Foster et al. (1976) conducted a case report in Cardiac disease with abdominal pathology necessitating urgent surgical intervention (n=3). Intra-aortic balloon counterpulsation (IABC) was evaluated on Cardiac complications. Operative and early postoperative use of intra-aortic balloon counterpulsation in patients with documented heart disease undergoing major non-cardiac surgical procedures may reduce cardiac complications.
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