4,437 results match your criteria Intra-aortic Balloon Counterpulsation

Infarction-Related Cardiogenic Shock- Diagnosis, Monitoring and Therapy.

Dtsch Arztebl Int 2021 Feb;118(6):88-95

* Guideline group see eBox 1; Department of Internal Medicine III, University Hospital Halle (Saale), Martin-Luther University Halle-Wittenberg, Halle (Saale), Germany; Department of Cardiology, Angiology and Internal Intensive Care Medicine, St. Marienkrankenhaus Siegen, Siegen, Germany; Department of Cardiology, Clinic Ottakring, Vienna Healthcare Group, Vienna, Austria; Department of Cardiology, University of Leipzig, Heart Center Leipzig, Leipzig, Germany; Department of Anesthesiology, University Hospital, LMU, Munich, Germany; Internists at the Maxplatz, Traunstein/Affiliate Cardiology Traunstein, Traunstein, Germany.

Background: The second edition of the German-Austrian S3 guideline contains updated evidence-based recommendations for the treatment of patients with infarction-related cardiogenic shock (ICS), whose mortality is several times higher than that of patients with a hemodynamically stable myocardial infarction (1).

Methods: In five consensus conferences, the experts developed 95 recommendations-including two statements-and seven algorithms with concrete instructions.

Results: Recanalization of the coronary vessel whose occlusion led to the infarction is crucial for the survival of patients with ICS. Read More

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February 2021

Support with Impella versus intra-aortic balloon pump in acute myocardial infarction complicated by cardiogenic shock: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Mar;100(12):e25159

Department of Cardiology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Hubei, China.

Background: The survival benefit and safety of Impella support versus intra-aortic balloon counterpulsation (IABP) in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock were investigated in several observational trials that revealed mixed results. Thus, in order to provide new evidence-based medical evidence for clinical treatment, we undertook a meta-analysis to assess the efficacy and safety of Impella versus IABP in AMI complicated by cardiogenic shock.

Methods: We will search the EMBASE, Web of Knowledge, PubMed, ClinicalTrials. Read More

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Dynamic left ventricular outflow tract gradient resulting from Takotsubo cardiomyopathy ameliorated by intra-aortic balloon pump counterpulsation: a case report.

Eur Heart J Case Rep 2021 Mar 3;5(3):ytab082. Epub 2021 Mar 3.

Department of Cardiology, Mater Private Hospital, Dublin, Ireland.

Background: Takotsubo cardiomyopathy is a variant of acute coronary syndrome with characteristic acute left ventricular apical ballooning. Uncommonly, there can be associated left ventricular outflow tract (LVOT) obstruction causing cardiogenic shock refractory to inotropic support. The use of afterload-reducing mechanical support such as intra-aortic balloon pump (IABP) counterpulsation is not routinely employed in instances of this kind. Read More

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[ECMO for post cardiotomy refractory cardiogenic shock: Experience of the cardiac surgery department of the Grenoble Alpes University Hospital].

Ann Cardiol Angeiol (Paris) 2021 Apr 24;70(2):63-67. Epub 2021 Feb 24.

Service de chirurgie cardiaque, Pôle thorax-vaisseaux - CHU Grenoble Alpes, Grenoble, France.

Objective: The objective of our study is to detail our experience relating to ECMO implantations for post-cardiotomy refractory shock, by analyzing the pre-ECMO factors (history, type of surgery, LVEF), factors relating to ECMO (implantation time, duration) and post-ECMO factors (weaning, complications) in order to highlight those possibly associated with high mortality.

Methods: This is a univariate and multivariate retrospective study of ECMO data implemented between 2011 and 2019 at the Grenoble Alpes University Hospital Center following cardiac surgery. The time to implantation of ECMO was less than 3hours (intraoperative) between 3 and 24hours (early postoperative) and between 24 and 48hours after aortic unclamping (late postoperative). Read More

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Use of Mechanical Circulatory Support Devices Among Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock.

JAMA Netw Open 2021 02 1;4(2):e2037748. Epub 2021 Feb 1.

Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut.

Importance: Mechanical circulatory support (MCS) devices, including intravascular microaxial left ventricular assist devices (LVADs) and intra-aortic balloon pumps (IABPs), are used in patients who undergo percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) complicated by cardiogenic shock despite limited evidence of their clinical benefit.

Objective: To examine trends in the use of MCS devices among patients who underwent PCI for AMI with cardiogenic shock, hospital-level use variation, and factors associated with use.

Design, Setting, And Participants: This cross-sectional study used the CathPCI and Chest Pain-MI Registries of the American College of Cardiology National Cardiovascular Data Registry. Read More

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February 2021

The Intra-Aortic Balloon Pump.

J Vis Exp 2021 02 5(168). Epub 2021 Feb 5.

Division of Cardiovascular Medicine, University of Nebraska Medical Center.

Cardiogenic shock remains one of the most challenging clinical syndromes in modern medicine. Mechanical support is being increasingly used in the management of cardiogenic shock. Intra-aortic balloon pump (IABP) is one of the earliest and most widely used types of mechanical circulatory support. Read More

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February 2021

External validation and comparison of the CardShock and IABP-SHOCK II risk scores in real-world cardiogenic shock patients.

Eur Heart J Acute Cardiovasc Care 2020 Jan 31. Epub 2020 Jan 31.

Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, CIBERCV, Spain.

Background: Mortality from cardiogenic shock remains high and early recognition and risk stratification are mandatory for optimal patient allocation and to guide treatment strategy. The CardShock and the Intra-Aortic Balloon Counterpulsation in Acute Myocardial Infarction Complicated by Cardiogenic Shock (IABP-SHOCK II) risk scores have shown good results in predicting short-term mortality in cardiogenic shock. However, to date, they have not been compared in a large cohort of ischaemic and non-ischaemic real-world cardiogenic shock patients. Read More

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January 2020

Mechanical circulatory support-assisted percutaneous coronary intervention: have we reached the point of no return?

EuroIntervention 2021 Feb 5;16(15):e1211-e1212. Epub 2021 Feb 5.

Deutsches Herzzentrum München, Technische Universität München, Munich, Germany.

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February 2021

The Preference, Effect, and Prognosis of Intra-Aortic Balloon Counterpulsation in Acute Myocardial Infarction Complicated by Cardiogenic Shock Patients: A Retrospective Cohort Study.

Biomed Res Int 2021 20;2021:6656926. Epub 2021 Jan 20.

Key Laboratory of Ministry of Industry and Information Technology of Biomedical Engineering and Translational Medicine, Chinese PLA General Hospital, Beijing 100853, China.

Backgrounds: Intra-aortic balloon counterpulsation is increasingly used in acute myocardial infarction complicated by cardiogenic shock. The aim of this study was to explore the preference, effect, and prognosis of intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock patients.

Methods: Data of acute myocardial infarction complicated by cardiogenic shock patients at the Fourth Medical Center of PLA General Hospital were collected retrospectively. Read More

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January 2021

Early Initiation of Feeding and In-Hospital Outcomes in Patients Hospitalized for Acute Heart Failure.

Am J Cardiol 2021 04 14;145:85-90. Epub 2021 Jan 14.

The Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.

Extensive data on early nutrition support for patients requiring critical care are available. However, whether early initiation of feeding could be beneficial for patients hospitalized for acute heart failure (HF) remains unclear. We sought to compare outcomes of early and delayed initiation of feeding for hospitalized patients with acute HF using a nationwide inpatient database. Read More

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Takotsubo syndrome after mitral valve surgery: a case report.

Eur Heart J Case Rep 2020 Dec 22;4(6):1-5. Epub 2020 Nov 22.

Department of Cardiology, IIS-Hospital Universitario Fundación Jiménez Díaz - Quironsalud, Av Reyes Católicos 2, 28040 Madrid, Spain.

Background: Takotsubo syndrome is a frequent entity; however, it has never been described after a mitral valve surgery.

Case Summary : We present the case of a 79-year-old woman, with background of atrial fibrillation and a left atrial appendage closure device, who was admitted for elective mitral valve replacement, because of asymptomatic severe primary mitral regurgitation. Biologic mitral valve was implanted without incidences, but in the postoperative, she developed cardiogenic shock. Read More

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December 2020

Comparison of Outcomes Among Patients With Cardiogenic Shock Admitted on Weekends Versus Weekdays.

Am J Cardiol 2021 04 6;144:20-25. Epub 2021 Jan 6.

Saint Luke's Mid America Heart Institute, Kansas City, Missouri; University of Missouri-Kansas City, Kansas City, Missouri. Electronic address:

Cardiogenic shock (CS) is associated with high mortality and often requires involvement of a multidisciplinary provider team to deliver timely care. Care coordination is more difficult on weekends, which may lead to a delay in care. We sought to assess the effect of weekend admissions on outcomes in patients admitted with CS. Read More

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Impact of the Coronavirus Disease 2019 Pandemic on Utilization of Mechanical Circulatory Support As Bridge to Heart Transplantation.

ASAIO J 2021 04;67(4):382-384

From the Cardiovascular Outcomes Research Laboratories, Division of Cardiac Surgery, David Geffen School of Medicine University of California, Los Angeles, Los Angeles, California.

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Incidence, Predictors, and Outcome of In-Hospital Bleeding in Patients With Cardiogenic Shock Complicating Acute Myocardial Infarction.

Am J Cardiol 2021 04 28;144:13-19. Epub 2020 Dec 28.

Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Bleeding after acute myocardial infarction (AMI) is associated with an increased morbidity and mortality. The frequency and consequences of bleeding events in patients with AMICS are not well described. The objective was to investigate incidence and outcome of bleeding complications among unselected patients with AMI complicated by cardiogenic shock (AMICS) and referred for immediate revascularization. Read More

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The Rise of Endovascular Mechanical Circulatory Support Use for Cardiogenic Shock and High Risk Coronary Intervention: Considerations and Challenges.

Expert Rev Cardiovasc Ther 2021 Feb 28;19(2):151-164. Epub 2020 Dec 28.

The Cardiovascular Center, Tufts Medical Center, Boston, MA, USATurkey.

: Cardiogenic shock due to acute myocardial infarction and decompensated advanced heart failure remains a source of significant morbidity and mortality. Endovascular mechanical circulatory support devices including intra-aortic balloon pump (IABP), percutaneous left ventricular assist devices (Impella and Tandemheart pumps), and veno-arterial extracorporeal oxygenation (VA-ECMO) are utilized for a broadening range of indications.: This narrative review explores the specific devices, their distinctive hemodynamic profiles, and practical considerations. Read More

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February 2021

Reply to: Letter to the editor: Breaking the trend in cardiogenic shock-From door-to-balloon to door-to-support.

Am Heart J 2021 01;231:161

Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark.

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January 2021

Letter to the editor: Breaking the trend in cardiogenic shock-From door-to-balloon to door-to-support.

Am Heart J 2021 01;231:160

Department of Cardiology, Liverpool Hospital, Sydney, NSW, Australia; South Western Sydney Clinical School, University of NSW, Sydney, NSW, Australia.

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January 2021

Extracorporeal Life Support for Cardiogenic Shock With Either a Percutaneous Ventricular Assist Device or an Intra-Aortic Balloon Pump.

ASAIO J 2021 01;67(1):25-31

From the Division of Cardiothoracic Surgery, Washington University School of Medicine in St. Louis, Barnes-Jewish Hospital, St. Louis, Missouri.

Extracorporeal life support (ECLS) can result in complications due to increased left ventricular (LV) afterload. The percutaneous ventricular assist device (PVAD) and intra-aortic balloon pump (IABP) are both considered to be effective means of LV unloading. This study describes the efficacy of LV unloading and related outcomes with PVAD or IABP during ECLS. Read More

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January 2021

Early intra-aortic balloon pump in acute decompensated heart failure complicated by cardiogenic shock: Rationale and design of the randomized Altshock-2 trial.

Am Heart J 2021 03 16;233:39-47. Epub 2020 Dec 16.

Department of Anesthesia and Intensive Care, IRCCS ISMETT, UPMC Italy, Palermo, Italy.

Background: Cardiogenic shock (CS) is a systemic disorder associated with dismal short-term prognosis. Given its time-dependent nature, mechanical circulatory support may improve survival. Intra-aortic balloon pump (IABP) had gained widespread use because of the easiness to implant and the low rate of complications; however, a randomized trial failed to demonstrate benefit on mortality in the setting of acute myocardial infarction. Read More

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Aortic flow below and visceral circulation during aortic counterpulsation: Evaluation of an in vitro model.

Perfusion 2020 Dec 16:267659120978641. Epub 2020 Dec 16.

Cardiothoracic Department, Maastricht University Hospital, Maastricht, The Netherlands.

Introduction: This study aimed to test a computer-driven cardiovascular model for the evaluation of the visceral flow during intra-aortic balloon pump (IABP) assistance.

Methods: The model includes a systemic and pulmonary circulation as well as a heart contraction model. The straight polyurethane tube aorta had a single visceral while four windkessel components mimicked resistance compliance of the brachiocephalic, renal and sub-mesenteric, pulmonary, and systemic circulation. Read More

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December 2020

Prognostic Impact of Early Induction of Intra-Aortic Balloon Pump Counterpulsation in High-Risk Patients With Acute Heart Failure.

Am J Med Sci 2021 03 12;361(3):344-351. Epub 2020 Oct 12.

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

Background: Intra-aortic balloon pumping (IABP) counterpulsation provides potent supports on hemodynamic status of patients with cardiogenic shock. However, only limited numbers of patients with acute heart failure (AHF) under collapsed hemodynamic status received such benefit of IABP. We aimed to evaluate the impact of the timing of IABP induction on clinical prognosis in AHF patients at very high risk. Read More

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Outcomes of Hospitalizations for Cardiogenic Shock at Left Ventricular Assist Device Versus Non-Left Ventricular Assist Device Centers.

J Am Heart Assoc 2020 12 23;9(23):e017326. Epub 2020 Nov 23.

Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY.

Background Cardiogenic shock (CS) is a complex syndrome associated with high morbidity and mortality. In recent years, many US hospitals have formed multidisciplinary shock teams capable of rapid diagnosis and triage. Because of preexisting collaborative systems of care, hospitals with left ventricular assist device (LVAD) programs may also represent "centers of excellence" for CS care. Read More

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December 2020

Serial Changes in Clinical Presentations and Outcomes of 5,740 Patients Requiring Repeated Hospital Admissions (Four or More Times) due to Worsened Heart Failure.

Int Heart J 2020 Nov 13;61(6):1253-1257. Epub 2020 Nov 13.

Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo.

Heart failure (HF) is a major cause of death and hospitalization worldwide. In particular, hospital readmission due to worsened HF occurs frequently after the onset of HF. However, the association of repeated hospital admission with clinical manifestations and outcomes is unclear. Read More

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November 2020

A Case of Coexistence of Severe Coronary and Carotid Artery Stenosis Treated with Carotid Artery Stenting Using Intra-Aortic Balloon Pumping and a Temporary Pacemaker.

Int Heart J 2020 Nov 13;61(6):1285-1288. Epub 2020 Nov 13.

Department of Cardiology, Self Defense Forces Central Hospital.

The risk factors of carotid stenosis and coronary stenosis are similar, and therefore, certain patients with carotid stenosis may have coronary heart disease. Coronary artery bypass graft (CABG) is the major therapy for ischemic heart disease with three-vessel and left main coronary artery (LMCA) disease. However, CABG can induce cerebral infarctions in cases with carotid stenosis. Read More

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November 2020

Percutaneous left ventricular assist support is associated with less pulmonary congestion and lower rate of pneumonia in patients with cardiogenic shock.

Open Heart 2020 11;7(2)

Division of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany

Objectives: The aim of this study was to investigate the impact of acute left ventricular unloading by percutaneous left ventricular assist device on pulmonary congestion and pneumonia in patients with cardiogenic shock (CS).

Methods: In this retrospective study, we analysed patients with CS who received the Impella percutaneous left ventricular assist device (n=50) compared with those who received intra-aortic balloon pump (IABP) support (n=50). Pulmonary congestion was longitudinally assessed while on support by calculating characteristic findings on the chest X-ray using the Halperin score. Read More

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November 2020

[Perioperative outcomes in off-pump coronary artery bypass grafting patients older than 80 years with left ventricular dysfunction or left ventricular normal: a comparative study based on propensity score matching].

Zhonghua Wai Ke Za Zhi 2020 Nov;58(11):882-885

Department of Cardiothoracic Surgery, First Hospital of Honghe Prefecture, Mengzi 661199, Yunnan Province, China.

To examine the outcome of off-pump coronary artery bypass (OPCAB) in elderly patients with left ventricular dysfunction. From June 2008 to July 2016, 252 patients aged over 80 years underwent isolated OPCAB at Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, these patients' data were collected. The left ventricular dysfunction group (ejection fraction (EF): 35% to 50%) was comprised of 31 patients aged (82. Read More

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November 2020

Iatrogenic Takotsubo Cardiomyopathy Following Overdose Norepinephrine Administration During Percutaneous Coronary Intervention.

Int Heart J 2020 Nov 28;61(6):1298-1302. Epub 2020 Oct 28.

Cardiovascular Center, Taichung Veterans General Hospital.

Takotsubo cardiomyopathy (TTC) is characterized by reversible ventricular dysfunction induced by endogenous and, occasionally, exogenous catecholamine. We present a report on a patient who developed TTC and cardiogenic shock during percutaneous coronary intervention (PCI) secondary to inadvertent norepinephrine administration. His hemodynamic status and cardiac function were totally restored within 1 week after hemodynamic support using intra-aortic balloon pump without sequela. Read More

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November 2020

Trends and Impact of the Use of Mechanical Circulatory Support for Cardiogenic Shock Secondary to Takotsubo Cardiomyopathy.

Am J Cardiol 2021 01 6;139:28-33. Epub 2020 Oct 6.

University of Texas McGovern Medical School, Houston, Texas; Memorial Hermann Heart and Vascular Center, Texas Medical Center, Houston, Texas. Electronic address:

Data on the trend and impact of mechanical circulatory support (MCS) in patients with Takotsubo cardiomyopathy (TC) are scarce. We evaluated the incidence and outcomes of cardiogenic shock (CS) in TC patients and the trend in use of MCS over time. The National Inpatient Sample from 2005 to 2014 was used to identify patients admitted with TC and those receiving MCS. Read More

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January 2021