PMID: 11908489Mar 23, 2002Paper

Coronary artery bypass grafting in patients with severe left ventricular dysfunction: a prospective randomized study on the timing of perioperative intraaortic balloon pump support

The International Journal of Artificial Organs
C MarraMaurizio Cotrufo

Abstract

In this prospective trial the results of preoperative and intraoperative IABP in coronary artery bypass graft (CABG) patients with low left ventricular ejection fraction (LVEF) were compared. Sixty CABG patients with preoperative LVEF < or = 0.30 were enrolled: in group A patients (n=30) IABP was started within 2 hours preoperatively; in group B (n=30) it was instituted intraoperatively before weaning from cardiopulmonary bypass. Cardiac performance was assessed through Swan-Ganz catheter monitoring and daily echocardiography. Hospital survival, length of IABP support, intubation, ICU and hospital stay, need for postoperative inotropic drugs and incidence of myocardial infarction were compared between the two groups. Survival in group A patients proved significantly higher (P=0.047). Cardiac performance after myocardial revascularization improved in both groups with significantly better outcomes in group A patients (P<0.001). Doses of inotropic drugs (dobutamine, enoximone) were lower in group A (P=0.001; P=0.004) and duration shorter (P<0.001; P<0.001). No major IABP-related complication was observed.

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Citations

Dec 13, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Richard A Santa-CruzE Magnus Ohman
Jan 21, 2011·The Cochrane Database of Systematic Reviews·Thomas TheologouMark Field
Apr 14, 2012·Asian Cardiovascular & Thoracic Annals·Edward Litton, Anthony Delaney
Jan 13, 2015·Anaesthesia and Intensive Care·M SiriwardenaA M Richards
Mar 31, 2015·The Cochrane Database of Systematic Reviews·Susanne UnverzagtRoland Prondzinsky
Aug 8, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kevin PilarczykGeorg Trummer
Oct 29, 2020·Heart, Lung & Circulation·Umar S AliRobert Larbalestier
Mar 27, 2012·Medicina intensiva·J L Pérez VelaUNKNOWN Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP de SEMICYUC, con el aval científico de la SEMICYUC

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