Intra-aortic balloon counterpulsation in patients with severe cardiac dysfunction undergoing abdominal operations

Archives of Surgery
V ShayaniJ Pickleman

Abstract

To assess the effectiveness of intra-aortic balloon counterpulsation (IABC) as adjunctive treatment in patients undergoing abdominal operations. Retrospective review of patient medical records to determine the incidence of mortality following abdominal surgery and the incidence of complications from IABC. University-based, tertiary care hospital. Sixty-eight patients who underwent an abdominal operation and IABC during the same hospitalization were divided into the following groups: Group 1, IABC initiated prior to operation to enhance perioperative cardiac function; group 2, IABC used to treat cardiogenic shock in a patient who subsequently required an operation while undergoing IABC; and group 3, IABC device inserted and removed for treatment of cardiogenic shock in a patient who subsequently required an operation within 30 days of removal of the device. The incidence of mortality in IABC-supported patients and IABC-related complications. In group 1, excluding 3 patients who died following emergency operation, 26 patients underwent nonemergency procedures and had a 12% mortality rate. In group 2, 5 of 6 patients who underwent emergency operations died, whereas 3 of 4 patients who required only urgent operations survived. In g...Continue Reading

Citations

Mar 28, 2013·Current Heart Failure Reports·Jenica Upshaw, Michael S Kiernan
Jun 17, 2011·Current Opinion in Critical Care·Erik J BakkerDon Poldermans

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