Sheathless Versus Sheathed Intra-Aortic Balloon Pump Implantation in Patients Undergoing Cardiac Surgery
Key result
Sheathless IABP linked to ~64% fewer vascular complications compared with sheathed insertion.
- OR 0.36
- 95% CI 0.18 to 0.73
- P=0.005
- n=2,615
Why the study?
Contemporary data evaluating vascular complications between sheathless and sheathed IABP implantation techniques in cardiac surgery patients are lacking.
Does sheathless intra-aortic balloon pump (IABP) implantation reduce vascular complications in patients undergoing cardiac surgery compared to sheathed implantation?
Population
2,615 patients undergoing cardiac surgery with peri-operative IABP support in 8 cardiac surgical centers
Comparison
Sheathless IABP implantation technique vs sheathed IABP implantation technique
Design
Retrospective multi-center cohort study with propensity score matching
Authors
Discussion
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Member takes
Implication
May support sheathless IABP to lower vascular risk; hypothesis-generating and requires randomized confirmation before practice change.
Study Design
Type
Cohort (n=2,615)
Multicenter
Yes
Structured PICO
Does sheathless intra-aortic balloon pump (IABP) implantation reduce vascular complications in patients undergoing cardiac surgery compared to sheathed implantation?
P
Population
2,615 patients who underwent cardiac surgery with peri-operative intra-aortic balloon pump support across 8 centers.
E
Exposure
Sheathless intra-aortic balloon pump (IABP) implantation technique
C
Comparator
Sheathed intra-aortic balloon pump (IABP) implantation technique
O
Outcome
Composite end point of vascular complicationssafety
Main Result
Odds Ratio: 0.36 (95% CI 0.18–0.73)
Absolute Event Rate: 3% vs 8%
p-value: p=0.005
Sheathless IABP implantation during cardiac surgery is associated with a significantly lower rate of vascular complications compared to the sheathed technique.
Cite This Study
Heuts et al. (2022) conducted a cohort in Cardiac surgery requiring peri-operative IABP support (n=2,615). Sheathless intra-aortic balloon pump implantation vs. Sheathed intra-aortic balloon pump implantation was evaluated on Composite end point of vascular complications (OR 0.36, 95% CI 0.18 to 0.73, p=0.005). Sheathless intra-aortic balloon pump implantation was associated with fewer vascular complications than the sheathed technique (3% vs 8%; OR 0.36, 95% CI 0.18-0.73, p=0.005).