Why the study?
Is intrathoracic intra-aortic balloon pump insertion via the ascending aorta safe for patients requiring mechanical circulatory support during thoracotomy or cardiopulmonary bypass?
Is intrathoracic intra-aortic balloon pump insertion via the ascending aorta safe for patients requiring mechanical circulatory support during thoracotomy or cardiopulmonary bypass?
Intrathoracic intra-aortic balloon pump insertion via the ascending aorta is a safe and simple method for mechanical circulatory support when the femoral approach is unavailable or during thoracotomy.
Caution advised before adopting ascending aortic IABP insertion; this Level 5 series leaves open the need for prospective safety trials.
A technique of intra-aortic balloon pump insertion via the ascending aorta is useful when the femoral approach is not available and also for supporting patients whose cardiovascular system collapses during thoracotomy. In addition, this approach provides a simple method of assisting the heart and other vital organs while weaning the patient off cardiopulmonary bypass. There have been no complications noted in 25 patients treated by this method.
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George Pappas (1974) studied this question.
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