PMID: 1211999Dec 1, 1975Paper

The role of intraaortic balloon counterpulsation in patients undergoing cardiac operations

The Annals of Thoracic Surgery
J C ClevelandR J Cleveland

Abstract

Intraaortic balloon counterpulsation (IABC) was used to assist 60 patients undergoing cardiac operations for reasons of acute left ventricular failure (18 patients) or electively for indications in high-risk coronary and valvular heart disease (42 patients). Nine of 18 patients achieved hemodynamic stability when treated for acute perioperative or postoperative cardiogenic shock. Four of these died from problems unassociated with postoperative left ventricular failure and 5 were long-term survivors, indicating a potential salvage of 50%. In 42 high-risk patients, IABC was used electively to control preinfarction angina before operation (21 patients) and prophylactically to prevent postoperative low-output failure in another 21 patients with severe coronary and valvular heart disease. Thirty-nine, or 93%, of these patients survived. There were no deaths in the preinfarction angina group, 1 death in the group with coronary disease and ejection fractions less than 30%, and 2 deaths in those with valvular heart disease and congestive failure. Seven patients developed thrombotic or ischemic complications, but no permanent damage resulted. IABC is an important form of assistance for any patient with preoperative, intraoperative, or p...Continue Reading

References

Feb 1, 1974·The American Journal of Cardiology·C A BertolasiM R Vega
Dec 1, 1974·The American Journal of Cardiology·R M WeintraubS Paulin
Nov 1, 1974·The Annals of Thoracic Surgery·B G WisoffR I Hamby
Jan 1, 1974·The American Journal of Cardiology·D S CannomJ S Schroeder

Citations

Nov 1, 1978·World Journal of Surgery·L H CohnJ J Collins
Sep 1, 1979·Progress in Cardiovascular Diseases·C R ContiJ A Alexander
Sep 1, 1984·The Annals of Thoracic Surgery·J R SkinnerS J Phillips
Jun 1, 1976·The Annals of Thoracic Surgery·G C KaiserV L Willman
Feb 1, 1978·The Annals of Thoracic Surgery·D H Tyras, V L Willman
Sep 1, 1977·The American Journal of Cardiology·A A LefemineM Lewis
Feb 1, 1977·The Australian and New Zealand Journal of Surgery·J R Malm, D Bregman
Aug 2, 2007·Izvestiia Akademii nauk. Seriia biologicheskaia·V A Silkin, I N Chubchikova
Jan 1, 1981·Scandinavian Journal of Thoracic and Cardiovascular Surgery·A CriadoC Jimenez

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