PMID: 11899196Mar 20, 2002Paper

Current results with intraaortic balloon pumping in infants and children

The Annals of Thoracic Surgery
Kerrie A PinkneyJ A Hawkins

Abstract

Intraaortic balloon pumping (IABP) is useful for support in patients with moderate left ventricular dysfunction. IABP is usually timed with the R wave of the electrocardiogram. We have utilized M-mode echocardiography timed IABP in children with left-side heart failure since 1994. Electrocardiogram timing seems inappropriate for children, who have much higher heart rates. We describe our experience with children who underwent IABP therapy before and after 1994, when echocardiographic timing was instituted. We reviewed records of 29 children who underwent IABP for all indications at Primary Children's Medical Center since 1988. Overall survival was 62.1% (18 of 29) in this series. Survival was similar for infants (odds ratio = 2.0, 95% confidence interval = 0.29 to 14.31, p = 0.43) and older children. Survival was similar in the echocardiography era when compared with the electrocardiogram era (odds ratio = 2.4, 95% confidence interval = 0.56 to 10.4, p = 0.44). IABP is a useful means of support in children with left ventricular dysfunction. M-mode echocardiography is effective in triggering IABP. The sample size in this study is too small to detect a mortality rate difference.

References

Nov 1, 1988·The Annals of Thoracic Surgery·P J del NidoW G Williams
Nov 1, 1983·Circulation·L G VeasyM M Boucek
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Jun 4, 1999·The Annals of Thoracic Surgery·C Akomea-AgyinM Pozzi

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Citations

Dec 23, 2006·Cardiology in the Young·Ujjwal K ChowdhuryGanapathy K Subramaniam
Jun 14, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ali Dodge-Khatami, Paul A Checchia
Apr 20, 2011·Artificial Organs·Fabrizio De RitaGiovanni Battista Luciani
Sep 3, 2011·Artificial Organs·George M PantalosLaman A Gray
May 10, 2007·Postgraduate Medical Journal·Sathiakar Paul Collison, Kulbhusan Singh Dagar
Jul 9, 2014·Archivos de cardiología de México·Guillermo E MorenoPablo García Delucis
Oct 22, 2013·The Journal of Thoracic and Cardiovascular Surgery·Carlo R BartoliGeorge M Pantalos
Apr 1, 2008·Congenital Heart Disease·Adrian M MoranReed Quinn
Aug 9, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Jessica L Willert, Emilio B Lobato
May 31, 2006·The Journal of Thoracic and Cardiovascular Surgery·Georgios KalavrouziotisMarco Pozzi
Oct 16, 2018·World Journal for Pediatric & Congenital Heart Surgery·Ujjwal Kumar ChowdhuryLakshmi Kumari Sankhyan
Sep 5, 2009·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Young-Seok ChoDong-Ju Choi
Jan 7, 2010·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·George M PantalosLaman A Gray
Mar 16, 2007·Critical Care Nursing Quarterly·Kathleen E CarberryDavid L S Morales
Nov 20, 2016·Artificial Organs·Steven G ChopskiAmy L Throckmorton
Jan 11, 2007·The International Journal of Artificial Organs·D L S MoralesC D Fraser

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