PMID: 9527205Apr 4, 1998Paper

Intraaortic balloon pump in open heart operations: 10-year follow-up with risk analysis

The Annals of Thoracic Surgery
O E ArafaO R Geiran

Abstract

The intraaortic balloon pump (IABP) is the primary mechanical device used for perioperative cardiac failure. We analyzed the prognostic predictors and long-term survival of 344 patients undergoing cardiac operations who required the perioperative use of an IABP at our institution from January 1980 to December 1989. Hospital survivors (163 patients) were followed up for a mean of 7.45 years (range, 1 month to 15.3 years); cumulative follow-up included 1,167 patient-years. The early mortality rate was 52.6% (181 patients). From parameters available at the time of IABP insertion, logistic regression analysis identified preoperative serum creatinine level, left ventricular ejection fraction, perioperative myocardial infarction, timing of IABP insertion, and indication for operation as independent predictors of early (30-day) death (p < 0.05). Cox regression analysis of hospital survivors identified timing of IABP insertion, perfusion time, and preoperative serum creatinine level as independent prognostic factors for late death (p < 0.05), whereas patient age was only marginally significant (p < 0.06). There was no association between IABP-related complications and death. Survival analysis demonstrated a 10-year actual survival rate...Continue Reading

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Citations

Dec 12, 2003·The Annals of Thoracic Surgery·Roger J F BaskettUNKNOWN Northern New England Cardiovascular Disease Study Group
Mar 29, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·G BabatasiA Khayat
Jul 17, 2003·ANZ Journal of Surgery·Chih-Yuan LinChien-Sung Tsai
Sep 15, 2006·Critical Care Medicine·Ortrud Vargas HeinClaudia Spies
Jan 13, 2005·Artificial Organs·Ashraf W KhirJohn R Pepper
Apr 7, 2010·Journal of Cardiothoracic Surgery·Haralabos ParissisDimitrios Dougenis
Dec 26, 2013·The Korean Journal of Thoracic and Cardiovascular Surgery·Kazim ErgüneşAli Gurbuz
Dec 19, 2013·Heart, Lung & Circulation·Aslihan KucukerErol Sener
Jun 2, 2014·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Prashant N MohiteAndré R Simon
Feb 15, 2016·General Thoracic and Cardiovascular Surgery·Shinichi FukuharaHiroo Takayama
Jul 15, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Emmi SauraJarmo Gunn
Mar 13, 2012·The Journal of Thoracic and Cardiovascular Surgery·Bartley P GriffithO Howard Frazier
Mar 8, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Maqsood M ElahiBashir M Matata
Dec 29, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Eeva-Maija KinnunenFausto Biancari
Jan 24, 2009·The Annals of Thoracic Surgery·Jan Ludvig Svennevig
Mar 1, 2005·The Annals of Thoracic Surgery·Francesco OnoratiMaurizio Cotrufo
Jul 19, 2006·Journal of Cardiac Surgery·Hasan Basri ErdoganCevat Yakut
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