A New 35-mm Short Intra-aortic Balloon Catheter: A Suitable Option Also for Non-Small-Sized Patients?

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
Sandro GelsominoJosephus Gregorius Maessen

Abstract

Visceral ischemia can be a potentially life-threatening complication of intra-aortic balloon pump (IABP) support. A shorter IABP catheter might lead to a reduction of visceral complications. In this animal study, we evaluate the effects of a 35-mL short catheter in comparison with a 40-mL standard-sized catheter. Eighteen healthy swine underwent 120-minute ligation of the left anterior descending coronary artery followed by 6 hours of reperfusion being supported by either a short IABP catheter (short group) (n = 6) or a long IABP catheter (long group) (n = 6) or with no assistance (controls) (n = 6). Hemodynamics, visceral and coronary flows, as well as biochemical markers were evaluated throughout the different phases of the protocol. Mesenteric flows increased significantly at reperfusion (P < 0.001 both) remaining constant afterward (all, P > 0.05) in the short group, while remaining significantly lower in the long group at the start of reperfusion, remaining constantly lower than the short group and controls (P < 0.001 vs short, P < 0.003 vs controls). In both long and short groups, catheters improved renal flows at reperfusion (P < 0.001 both) without any further variation (P > 0.05). In the short group, the flows were hig...Continue Reading

References

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Aug 30, 2011·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Sandro GelsominoRoberto Lorusso
Nov 4, 2011·Journal of Cardiothoracic Surgery·Haralabos ParissisBassel Al-Alao
Nov 1, 2013·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Tetyana SukhodolyaGeorg Trummer
Jan 2, 2014·Vascular Pharmacology·Suzanne de WahaHolger Thiele
Dec 17, 2014·The Annals of Thoracic Surgery·Steinar LundemoenPaul Husby

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Citations

Oct 12, 2018·Current Opinion in Cardiology·Kay MaedaYoshikatsu Saiki
Aug 12, 2020·Artificial Organs·Sandro Gelsomino, Monique M J de Jong

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