What question did this study set out to answer?

To review institutional experience with intraaortic balloon pump (IABP) insertions for perioperative heart failure, focusing on insertion techniques, complications, and utilization patterns.

June 1, 1995The Thoracic and Cardiovascular Surgeon

The Intraaortic Balloon Pump for Postcardiotomy Heart Failure

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Population

169 adult patients who had an intraaortic balloon pump inserted preoperatively, intraoperatively, or…

Design

Cohort

Authors

JCJan T. ChristensonGlobal Forum for Health Research LBLori BuswellBrigham and Women's Hospital VVVladimir VelebitUniversity of Geneva

Discussion

Member takes

Implication

Hypothesis-generating for non-femoral IABP access to lower complications; prospective trials needed before changing practice in reoperations or emergencies.

Key Points

To review institutional experience with intraaortic balloon pump (IABP) insertions for perioperative heart failure, focusing on insertion techniques, complications, and utilization patterns.
Retrospective review of 3,591 consecutive adult patients undergoing cardiac surgery between January 1984 and March 1993.
Analysis of 169 patients (mean age 60.2 ± 8.8 years; 81.1% men) who received an IABP preoperatively (4.1%), intraoperatively (64.5%), or postoperatively (31.4%) via femoral (n=119) or intraaortic (n=50) routes.
IABP support was required significantly more often during reoperations (14.8%, 80/542) than primary procedures (2.9%, 89/3,049; p < 0.001), and in emergency operations (50.7%, 39/77) compared to elective operations (3.7%, 130/3,514; p < 0.001).
Mean duration of IABP support was 50 hours (range 0.5–576 hours).
Device-related complications developed in 4.7% of patients (8/169), occurring exclusively following femoral insertions and presenting as leg ischemia (7 cases, 88%) and groin wound infection (1 case).

Structured PICO

Population

169 adult patients who had an intraaortic balloon pump (IABP) inserted preoperatively, intraoperatively, or postoperatively for perioperative heart failure out of 3,591 adult patients undergoing cardiac surgical procedures. Mean age 60.2 +/- 8.8 years, 81.1% men.

Intervention

Intraaortic balloon pump (IABP) insertion (femoral or intraaortic)

Outcome

IABP complications, route of insertion, and identification of predictors of mortalitysafety

In patients with postcardiotomy heart failure, IABP use was more frequent in reoperations and emergency procedures, with a 4.7% complication rate primarily consisting of leg ischemia after femoral insertion.

Cite This Study

Christenson et al. (1995) studied this question.

synapsesocial.com/papers/6a8929ed9f05dd9930a2c208 https://doi.org/10.1055/s-2007-1013786

Topics

Heart failure HFrEF treatment

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Implication

Hypothesis-generating for non-femoral IABP access to lower complications; prospective trials needed before changing practice in reoperations or emergencies.

The Intraaortic Balloon Pump for Postcardiotomy Heart Failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

The Intraaortic Balloon Pump for Postcardiotomy Heart Failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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