4,111 results match your criteria Intra-aortic Balloon Counterpulsation


Intra-aortic Balloon Counterpulsation for High-Risk Percutaneous Coronary Intervention: Defining Coronary Responders.

J Cardiovasc Transl Res 2019 Mar 15. Epub 2019 Mar 15.

School of Cardiovascular Medicine and Sciences, British Heart Foundation Centre of Excellence and National Institute for Health Research Biomedical Research Centre, St. Thomas' Hospital Campus, King's College London, London, SE1 7EH, UK.

The effect of intra-aortic balloon counterpulsation (IABC) varies, and it is unknown whether this is due to a heterogeneous coronary physiological response. This study aimed to characterise the coronary and left ventricular (LV) effects of IABC and define responders in terms of their invasive physiology. Twenty-seven patients (LVEF 31 ± 9%) underwent coronary pressure and Doppler flow measurements in the target vessel and acquisition of LV pressure volume loops after IABC supported PCI, with and without IABC assistance. Read More

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http://dx.doi.org/10.1007/s12265-019-09871-8DOI Listing

Superior mesenteric and renal flow patterns during intraortic counterpulsation.

Exp Physiol 2019 Feb 28. Epub 2019 Feb 28.

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

New Findings: Visceral ischemia remains one of the majorly feared complications during the use of the intraaortic balloon pump. Employing an animal model, we directly measured the flows at the abdominal level and examined flow patterns during IABP. We show that there is a significant balloon-related reduction in superior mesenteric flow in both early and mid-diastole. Read More

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http://dx.doi.org/10.1113/EP086810DOI Listing
February 2019
1 Read

Delayed Diagnosis of Non-ST Segment Elevation Myocardial Infarction in a Young Patient with Multivessel Disease and Familial Hypercholesterolemia Complicated by Cardiogenic Shock Finally Treated with Intra-Aortic Balloon Pump as a Bridge to Extra Corporeal Membrane Oxygenation.

Case Rep Cardiol 2019 17;2019:9470131. Epub 2019 Jan 17.

2 Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.

Delayed diagnosis of coronary artery disease in young patients after cardiac arrest of unknown origin could increase the risk of death in further diagnostic and therapeutic process. Familial history of premature coronary atherosclerosis and hypercholesterolemia could help in proper diagnosis and treatment. We present a case of a 29-year-old female admitted to the catheterization laboratory with cardiogenic shock and multivessel coronary artery disease treated successfully with multivessel percutaneous coronary intervention and intra-aortic balloon counterpulsation as a bridge to extracorporeal membrane oxygenation. Read More

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http://dx.doi.org/10.1155/2019/9470131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360038PMC
January 2019
2 Reads

ST-Elevation Myocardial Infarction in Patients With Malignancies.

Kardiologiia 2018 Dec 25;58(12):5-12. Epub 2018 Dec 25.

Samara State Medical University.

Acute myocardial infarction (MI), the most severe complication of coronary artery disease, develops in 2-4% of patients with various malignancies.

Purpose: to explore the specific properties of ST-segment elevation myocardial infarction (STEMI) course in patients with cancer and its effect on short-term outcome.

Materials And Methods: We included in this study 45 patients with STEMI and history of cancer hospitalized in the period from 01. Read More

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http://dx.doi.org/10.18087/cardio.2018.12.10204DOI Listing
December 2018
3 Reads

The role of different mechanical circulatory support devices and their timing of implantation on myocardial damage and mid-term recovery in acute myocardial infarction related cardiogenic shock.

J Interv Cardiol 2018 Dec 20;31(6):717-724. Epub 2018 Nov 20.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Objectives: Aim of the study was to assess in-hospital survival rate and the degree of myocardial recovery after MCS treatment (IABP or IMPELLA) at discharge and at 6 months in patients with AMI-CS and planned early percutaneous revascularization.

Background: All studies on MCS for acute myocardial infarction related cardiogenic shock (AMI-CS) focused on its impact on in-hospital mortality; however, few data about its role on myocardial recovery are available.

Methods: Retrospective study on 64 patients: 36 patients (56%) received IABP and 28 (44%) Impella 2. Read More

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http://dx.doi.org/10.1111/joic.12569DOI Listing
December 2018
17 Reads

Successful Transcatheter Atrial Septal Defect Closure Prior to Coronary Artery Bypass Grafting Using Anti-Congestive Therapies and Intraaortic Balloon Pumping in a Patient with Severe Ischemic Cardiomyopathy and Triple-Vessel Coronary Artery Disease.

Int Heart J 2018 Nov 25;59(6):1480-1484. Epub 2018 Oct 25.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.

In patients with an atrial septal defect (ASD) and left ventricular (LV) dysfunction associated with coronary artery disease (CAD), to avoid the development of acute left heart failure (HF) and an increase in myocardial oxygen consumption following ASD closure, it is conceivable that coronary artery revascularization should be performed prior to ASD closure. We report the case of a 67-year-old man with a large secundum ASD and LV ejection fraction of 15.6% resulting from severe ischemic cardiomyopathy and triple-vessel CAD, both of which contributed to biventricular HF characterized by high left-to-right shunt (Qp:Qs of 7. Read More

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http://dx.doi.org/10.1536/ihj.17-563DOI Listing
November 2018
2 Reads
1.130 Impact Factor

Mechanical Circulatory Support During Catheter Ablation of Ventricular Tachycardia: Indications and Options.

Heart Lung Circ 2019 Jan 17;28(1):134-145. Epub 2018 Oct 17.

Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia; Department of Cardiology, Westmead Hospital, Westmead Applied Research Centre, University of Sydney, Sydney, NSW, Australia. Electronic address:

Mapping of scar-related ventricular tachycardia (VT) in structural heart disease is fundamentally driven by identifying the critical isthmus of conduction that supports re-entry in and around myocardial scar. Mapping can be performed using activation and entrainment techniques during VT, or by substrate mapping performed in stable sinus or paced rhythm. Activation and entrainment mapping requires the patient to be in continuous VT, which may not be haemodynamically tolerated, or, if tolerated, may lead to adverse sequelae related to impaired end organ perfusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14439506183194
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http://dx.doi.org/10.1016/j.hlc.2018.10.006DOI Listing
January 2019
11 Reads
1.172 Impact Factor

Latest STEMI treatment: a focus on current and upcoming devices.

Expert Rev Med Devices 2018 Nov 30;15(11):807-817. Epub 2018 Oct 30.

a Hospital Clínic, Cardiovascular Clinic Institute , Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) , Barcelona , Spain.

Introduction: Ischemic heart disease is the most common cause of mortality worldwide. In ST elevation myocardial infarction (STEMI) patients, optimization of primary percutaneous coronary intervention (pPCI) is crucial to improve myocardial savage and prevent reperfusion injury. In STEMI patients complicated with cardiogenic shock (CS), percutaneous mechanical circulatory support devices (MCS) have emerged as a therapeutic option in the management of this challenging condition and their use is rapidly increasing. Read More

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https://www.tandfonline.com/doi/full/10.1080/17434440.2018.1
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http://dx.doi.org/10.1080/17434440.2018.1538778DOI Listing
November 2018
17 Reads

Successful Use of Intra-aortic Balloon Counterpulsation for Systemic Ventricular Failure Following Total Pericardiectomy for Calcific Chronic Constrictive Pericarditis.

World J Pediatr Congenit Heart Surg 2018 Oct 14:2150135118769321. Epub 2018 Oct 14.

1 Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

We report two male patients aged 18 and 19 years, respectively, undergoing total pericardiectomy for chronic calcific constrictive pericarditis who developed systemic ventricular failure unresponsive to medical management following surgery. The failing circulation was successfully reestablished using intra-aortic balloon counterpulsation. Aortic counterpulsation facilitates recovery of ventricular function and appears to be a reasonable alternative in select instances of refractory cardiac failure following pericardiectomy. Read More

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http://journals.sagepub.com/doi/10.1177/2150135118769321
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http://dx.doi.org/10.1177/2150135118769321DOI Listing
October 2018
18 Reads

[Which role today for intra-aortic balloon counterpulsation?]

G Ital Cardiol (Rome) 2018 Oct;19(10):533-541

S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.

Intra-aortic balloon pump (IABP) is a percutaneous assist device that is easy to implant, is associated with low complication rates and, therefore, is widely used. It is commonly applied by femoral access, although it can be used with axillary access. It reduces afterload and preload, with a slight increase in mean arterial pressure and coronary perfusion. Read More

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http://dx.doi.org/10.1714/2978.29839DOI Listing
October 2018
13 Reads

Emergent caesarean section under mechanical circulatory support for acute severe peripartum cardiomyopathy.

J Cardiol Cases 2018 Jun 21;17(6):200-203. Epub 2018 Mar 21.

Oita Prefectural Hospital, Oita-ken, Japan.

Peripartum cardiomyopathy (PPCM) is an idiopathic left ventricular dysfunction in women who are in late pregnancy or the postpartum period. PPCM is a rare but sometimes fatal disease, and mechanical circulatory support is required if heart failure is refractory to conventional therapy. A 28-year-old woman in late pregnancy was admitted to our hospital due to congestive heart failure with cardiogenic shock. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409183001
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http://dx.doi.org/10.1016/j.jccase.2018.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149581PMC
June 2018
5 Reads

Intra-aortic balloon counterpulsation pump in heart failure patients during MitraClip implantation-A propensity-score matched analysis.

Catheter Cardiovasc Interv 2018 Dec 30;92(7):1433-1438. Epub 2018 Sep 30.

Department of Internal Medicine II, University of Ulm, Ulm, Germany.

Objectives: To analyze 30-day and 6-month results after percutaneous mitral valve repair using an IABP as circulatory support.

Background: The use of intra-aortic balloon counterpulsation pump extended the spectrum of cardiovascular interventions.

Methods: Since 2014, 17 patients of 365 patients (4. Read More

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http://dx.doi.org/10.1002/ccd.27717DOI Listing
December 2018
1 Read

Myocardial protection in on-pump coronary artery bypass grafting surgery: analysis of the effectiveness of the use of retrograde Celsior.

Ther Adv Cardiovasc Dis 2018 Oct 7;12(10):263-273. Epub 2018 Aug 7.

Cardiac Surgery, Hospital Universitario Central de Asturias, Oviedo, Spain.

Background: We analyzed the adequacy of the myocardial protection achieved with a single dose of retrograde crystalloid Celsior®, compared with an accepted standard (microplegia), in on-pump coronary artery bypass grafting surgery (CABG).

Methods: This was a retrospective comparative clinical study conducted in a single institution that included all the patients operated on who had elective isolated on-pump CABG, from March 2006 to June 2014. We evaluated maximum postoperative troponin T (TnT) as a marker of myocardial damage, adjusted for possible confounders using propensity score matching. Read More

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http://dx.doi.org/10.1177/1753944718792428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120182PMC
October 2018
20 Reads

Assessment of Intra-Aortic Counterpulsation in an Animal Model of Heart Failure and Myocardial Ischemia.

Artif Organs 2019 Mar 31;43(3):E28-E40. Epub 2018 Oct 31.

Instituto de Medicina Traslacional, Trasplante y Bioingeniería, Universidad Favaloro-CONICET, Buenos Aires, Argentina.

The effectiveness of intra-aortic balloon pumping (IABP) is currently evaluated using indirect indexes. The diastolic pressure augmentation is quantified using the subendocardial viability ratio (SEVR) and the DABAC/SABAC index (areas beneath the aortic pressure-time signals during the diastolic and systolic periods, respectively). The SEVR requires invasive recordings of left ventricular pressure; the DABAC/SABAC index may represent an alternative, since it only requires an aortic pressure signal. Read More

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http://dx.doi.org/10.1111/aor.13340DOI Listing
March 2019
10 Reads

[Treatment experience of cardiac rupture in patients with acute myocardial infarction].

Authors:
J X Ye M Ge D J Wang

Zhonghua Xin Xue Guan Bing Za Zhi 2018 Jul;46(7):554-558

Department of Cardio-thoracic Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.

To analyze the treatment results of cardiac rupture in patients with acute myocardial infarction (AMI) . Clinical data of 6 with cardiac rupture after AMI, who were hospitalized in our hospital from June 2015 to June 2017, were retrospectively analyzed,and the clinical manifestations, methods of treatment and outcomes were investigated. Cardiac function classification was Killip class Ⅱin all patients. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3758.2018.07.009DOI Listing
July 2018
10 Reads

Protracted aortic valve closure during peripheral veno-arterial extracorporeal life support: is intra-aortic balloon pump an effective solution?

Perfusion 2019 01 19;34(1):35-41. Epub 2018 Jul 19.

1 Department of Cardio-Thoracic Surgery, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.

Background: Left ventricular (LV) afterload increase with protracted aortic valve (AV) closure may represent a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO). The aim of the present study was to assess the effects of an intra-aortic balloon pump (IABP) to overcome such a hemodynamic shortcoming in patients submitted to peripheral V-A ECMO.

Methods: Among 184 adult patients who were treated with peripheral V-A ECMO support at Medical University Center Maastricht Hospital between 2007 and 2018, patients submitted to IABP implant for protracted AV closure after V-A ECMO implant were retrospectively identified. Read More

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http://journals.sagepub.com/doi/10.1177/0267659118787426
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http://dx.doi.org/10.1177/0267659118787426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304680PMC
January 2019
18 Reads

How New Support Devices Change Critical Care Delivery.

Methodist Debakey Cardiovasc J 2018 Apr-Jun;14(2):101-109

HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.

Mechanical support devices are used to support failing cardiac, respiratory, or both systems. Since Gibbon developed the cardiopulmonary bypass in 1953, collaborative efforts by medical centers, bioengineers, industry, and the National Institutes of Health have led to development of mechanical devices to support heart, lung, or both. These devices are used as a temporary or long-term measures for acute collapse of circulatory system and/or respiratory failure. Read More

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http://dx.doi.org/10.14797/mdcj-14-2-101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027720PMC
October 2018
1 Read

Acute-right-ventricular-failure post-cardiotomy: RVAD as a bridge to a successful recovery.

Authors:
F Sertic A Ali

J Surg Case Rep 2018 Jun 20;2018(6):rjy140. Epub 2018 Jun 20.

Department of Cardiac Surgery, Yale New Haven Hospital, New Haven, CT, USA.

This is the case of a 57-year-old woman who underwent coronary-artery-bypass-grafting following a diagnosis of NSTEMI with triple-coronary-vessel-disease. During separation from cardiopulmonary-bypass she developed acute severe-right-ventricular-failure refractory to inotropic support and intra-aortic-balloon-pump-counterpulsation. Therefore VA-ECMO was established in order to separate the patient from cardiopulmonary-bypass. Read More

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http://dx.doi.org/10.1093/jscr/rjy140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009674PMC
June 2018
1 Read

Current indications for the intra-aortic balloon pump: The CP-GARO registry.

Arch Cardiovasc Dis 2018 Dec 13;111(12):739-748. Epub 2018 Jun 13.

Université Rennes, Department of cardiology, CHU Rennes, Inserm, LTSI-UMR 1099, 35000 Rennes, France; EA4324, département de cardiologie, optimisation des régulations physiologiques (ORPhy), UFR sciences et techniques, CHU de Brest, 29200 Brest, France; L'institut du Thorax, CHU Nantes, service de cardiologie, 44093 Nantes, France. Electronic address:

Background: Intra-aortic balloon pumps (IABPs) have been used routinely since the 1970s. Recently, large randomized trials failed to show that IABP therapy has meaningful benefit, and international recommendations downgraded its place, particularly in cardiogenic shock.

Aims: The aim of this registry was to describe the contemporary use of IABP therapy, in light of these new data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18752136183008
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http://dx.doi.org/10.1016/j.acvd.2018.03.011DOI Listing
December 2018
7 Reads

A Targeted Management Approach to Cardiogenic Shock.

Crit Care Clin 2018 Jul;34(3):423-437

Cardiovascular Institute, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, USA. Electronic address:

Cardiogenic shock is a clinical syndrome characterized by low cardiac output and sustained tissue hypoperfusion resulting in end-organ dysfunction and death. In-hospital mortality rates range from 50% to 60%. Urgent diagnosis, timely transfer to a tertiary or quaternary medical facility with critical care management capabilities and multidisciplinary shock teams is a must to increase survival. Read More

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http://dx.doi.org/10.1016/j.ccc.2018.03.009DOI Listing
July 2018
3 Reads

Salutary Effects of the PULVAD, a Novel Implantable Counterpulsation Assist Device, on Cardiac Mechanoenergetics.

ASAIO J 2018 Jun 5. Epub 2018 Jun 5.

From the 3rd Department of Cardiology, University of Athens School of Medicine, Athens, Greece.

The pressure unloading left ventricular assist device (PULVAD) is a novel implantable counterpulsation LVAD, designed to provide ventricular unloading with augmentation of LV performance and retention of pulsatility. We assessed the effects of the PULVAD on hemodynamics and LV mechanoenergetics in seven farm pigs with acute ischemic heart failure. The PULVAD was implanted in the thorax and was connected to the ascending aorta. Read More

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http://dx.doi.org/10.1097/MAT.0000000000000838DOI Listing
June 2018
56 Reads

Preoperative intraaortic balloon pump before urgent coronary bypass grafting.

Asian Cardiovasc Thorac Ann 2018 Jun 4;26(5):353-360. Epub 2018 Jun 4.

2 Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany.

Background Urgent or emergency coronary artery bypass grafting in patients with acute coronary syndrome is associated with increased morbidity and mortality. We investigated the effects of preoperative intraaortic balloon pump support in this high-risk patient cohort. Methods Our institutional database was retrospectively reviewed for patients with acute coronary syndrome and an urgent or emergency indication for coronary artery bypass from April 2010 to December 2016. Read More

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http://dx.doi.org/10.1177/0218492318782066DOI Listing
June 2018
4 Reads

Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a "real world" experience.

J Thorac Dis 2018 Apr;10(4):2125-2134

Department of Anesthesia and Intensive Care, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio, Gruppo Ospedaliero San Donato, Milan, Italy.

Background: Intra-aortic balloon pump (IABP) had a pivotal role in the therapy of cardiogenic shock (CS), but recent studies have questioned its effects on patients' outcome. Aim of this study is the description of a "real world" series of patients in which IABP was used as a primary mechanical circulatory support (MCS).

Methods: All patients who received IABP in our institution during 1 year were prospectively enrolled in our study. Read More

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http://dx.doi.org/10.21037/jtd.2018.04.20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5949499PMC
April 2018
3 Reads

Recovery from anthracycline-induced cardiomyopathy with biventricular assist and valve repairs: A case report and literature review.

Int J Artif Organs 2018 Jul 27;41(7):413-417. Epub 2018 May 27.

2 Department of Cardiology, Fujita Health University School of Medicine, Toyoake, Japan.

Introduction: Ventricular assist device is used in the patients with severe heart failure due to cardiotoxicity of anthracyclines, which are widely used chemotherapeutic agents for a wide range of malignant tumors. However, recovery of cardiac function is rare.

Methods: We present the clinical course of a 43-year-old woman in remission from diffuse large B-cell lymphoma after the chemotherapy including anthracyclines, who presented in cardiogenic shock 8 months after the end of chemotherapy. Read More

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http://dx.doi.org/10.1177/0391398818772497DOI Listing
July 2018
4 Reads

Late-Onset Fulminant Myocarditis With Immune Checkpoint Inhibitor Nivolumab.

Can J Cardiol 2018 06 20;34(6):812.e1-812.e3. Epub 2018 Mar 20.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

A 60-year-old man was diagnosed with melanoma. After receiving 13 infusions of nivolumab, he had fulminant myocarditis. The myocardial biopsy specimen revealed extensive lymphocytic infiltration, interstitial edema, and myocardial necrosis, with predominant CD4+, CD8+, CD20-, and programmed death-1- markers. Read More

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http://dx.doi.org/10.1016/j.cjca.2018.03.007DOI Listing
June 2018
14 Reads

The curative effect of synthetic treatment for refractory acute myocardial infarction.

J Thorac Dis 2018 Mar;10(3):1732-1737

Gansu Cardiovascular Institute, Lanzhou 730050, China.

Background: This study aims to investigate the curative effect of synthetic treatment for refractory acute myocardial infarction (AMI).

Methods: A total of 76 patients with coronary AMI accompanied by shock, who were treated with combined therapy from August 1999 to April 2017, were included into this study. Sixty patients received emergency percutaneous coronary intervention (PCI). Read More

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http://dx.doi.org/10.21037/jtd.2018.03.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906369PMC
March 2018
3 Reads

Etiologies and predictors of 30-day readmissions in patients undergoing percutaneous mechanical circulatory support-assisted percutaneous coronary intervention in the United States: Insights from the Nationwide Readmissions Database.

Clin Cardiol 2018 Apr 26;41(4):450-457. Epub 2018 Apr 26.

Rhode Island Hospital, Brown Medical School, Rhode, Providence, Island.

Background: Patients undergoing percutaneous mechanical circulatory support (pMCS)-assisted percutaneous coronary intervention (PCI) represent a high-risk group vulnerable to complications and readmissions.

Hypothesis: Thirty-day readmissions after pMCS-assisted PCI are common among patients with comorbidities and account for a significant amount of healthcare spending.

Methods: Patients undergoing PCI and pMCS (Impella, TandemHeart, or intra-aortic balloon pump) for any indication between January 1, 2012, and November 30, 2014, were selected from the Nationwide Readmissions Database. Read More

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http://doi.wiley.com/10.1002/clc.22893
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http://dx.doi.org/10.1002/clc.22893DOI Listing
April 2018
15 Reads
2.230 Impact Factor

The Hostile Thoracic Aorta: Management Considerations for Severe Aortic Atheroma in a Challenging Case of Coronary Artery Bypass Grafting and Mitral Valve Replacement.

J Cardiothorac Vasc Anesth 2019 Jan 15;33(1):223-231. Epub 2018 Mar 15.

Cardiothoracic and Critical Care Sections, Department of Anesthesiology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.

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http://dx.doi.org/10.1053/j.jvca.2018.03.022DOI Listing
January 2019
10 Reads

Trends in utilization of mechanical circulatory support in patients hospitalized after out-of-hospital cardiac arrest.

Resuscitation 2018 06 16;127:105-113. Epub 2018 Apr 16.

The Cardiovascular Center, Tufts Medical Center, Boston, MA, United States.

Objective: This study sought to examine the trends and predictors of mechanical circulatory support (MCS) use in patients hospitalized after out-of-hospital cardiac arrest (OHCA).

Background: There is a paucity of data regarding MCS use in patients hospitalized after OHCA.

Methods: We conducted an observational analysis of MCS use in 960,428 patients hospitalized after OHCA between January 2008 and December 2014 in the Nationwide Inpatient Sample database. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03009572183016
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http://dx.doi.org/10.1016/j.resuscitation.2018.04.007DOI Listing
June 2018
14 Reads

In-hospital outcomes after rotational atherectomy in patients with low ejection fraction.

Scand Cardiovasc J 2018 08 18;52(4):177-182. Epub 2018 Apr 18.

a New Tokyo Hospital , Interventional Cardiology Unit , Matsudo , Chiba , Japan.

Objectives: This study evaluated angiographic success and in-hospital outcomes of percutaneous coronary intervention (PCI) with rotational atherectomy (RA) in patients with low left ventricular ejection fraction (LVEF).

Design: Between January 2010 and March 2014, 272 consecutive patients with heavily calcified lesions underwent elective PCI with RA. Of these, 33 patients had LVEF ≤35% (low LVEF group), whereas 237 patients had LVEF >35% (preserved LVEF group). Read More

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http://dx.doi.org/10.1080/14017431.2018.1455988DOI Listing
August 2018
2 Reads

In-hospital outcomes of percutaneous ventricular assist devices versus intra-aortic balloon pumps in non-ischemia related cardiogenic shock.

Heart Lung 2018 Jul - Aug;47(4):392-397. Epub 2018 Apr 12.

University of Kentucky, Lexington, Kentucky.

Introduction: This study compared inpatient outcomes related to the use of these two devices among patients who developed cardiogenic shock not due to acute myocardial infarction or coronary revascularization.

Methods: We extracted admission-level records of patients with a diagnosis of cardiogenic shock who underwent either PVAD or IABP implantation from the National Inpatient Sample (NIS) database from 2010 to 2014. Our outcomes of interest were mortality and length of stay. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01479563173043
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http://dx.doi.org/10.1016/j.hrtlng.2018.02.002DOI Listing
February 2019
13 Reads

Successful Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction During Resuscitation From Cardiac Arrest by Combined Mechanical Chest Compressions and Intra-aortic Balloon Pump Counterpulsation: A Case Report.

A A Pract 2018 Jun;10(12):323-326

From the Interventional Cardiology Department, Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Foundation Trust, London, United Kingdom.

Prolonged cardiac arrest (CA) in patients with acute myocardial infarction can be associated with poor prognosis. Successful revascularization with primary percutaneous coronary intervention (pPCI) remains the reference therapy for these patients. However, performing a pPCI during CA is challenging and the use of automatic chest compression devices or mechanical support systems might be warranted to facilitate the pPCI procedure and achieve good outcomes. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000707DOI Listing
June 2018
3 Reads

Transaxillary Intra-aortic Balloon Pump Placement: A New Approach With Great Potential.

Mayo Clin Proc 2018 04;93(4):539-540

Wayne State University, Detroit Medical Center, Detroit, MI.

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http://dx.doi.org/10.1016/j.mayocp.2018.01.010DOI Listing

Voices of Spring.

Authors:
John M Toomasian

Perfusion 2018 04;33(3):176-177

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http://dx.doi.org/10.1177/0267659118764612DOI Listing
April 2018
5 Reads

Can I Go Home With That Balloon Pump?

J Cardiothorac Vasc Anesth 2018 06 31;32(3):1468-1479. Epub 2018 Jan 31.

Columbia University Medical Center, College of Physicians and Surgeons of Columbia University, New York, NY.

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http://dx.doi.org/10.1053/j.jvca.2018.01.021DOI Listing
June 2018
4 Reads

Prophylactic Intra-aortic Balloon Counterpulsation-Still Searching for Answers.

J Cardiothorac Vasc Anesth 2018 10 2;32(5):2074-2076. Epub 2018 Feb 2.

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL.

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http://dx.doi.org/10.1053/j.jvca.2018.01.051DOI Listing
October 2018
7 Reads

Unstable angina in the era of high-sensitivity troponin testing: a genuine entity and a cautionary tale.

Scott Med J 2018 May 7;63(2):51-56. Epub 2018 Mar 7.

Consultant Cardiologist, Queen Elizabeth University Hospital, UK.

High-sensitivity cardiac troponin assays have emerged as a powerful tool in the management of patients presenting acutely to hospital with suspected cardiac chest pain. Recent guidelines emphasize the reassurance offered by low troponin concentrations early after admission. We describe a patient with known coronary artery disease, who presented with a classical history of recurrent myocardial ischaemia. Read More

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http://dx.doi.org/10.1177/0036933018760764DOI Listing
May 2018
7 Reads

Efficacy and safety of peripherally inserted central venous catheters in acute cardiac care management.

J Vasc Access 2018 Sep 7;19(5):455-460. Epub 2018 Mar 7.

2 Cardiology Unit, IRCCS Multimedica Group, Sesto San Giovanni, Italy.

Purpose: Patients admitted to cardiac intensive care unit need administration of drugs intravenously often in concomitance of therapeutic techniques such as non-invasive ventilation, continuous renal replacement therapy and intra-aortic balloon counterpulsation. Therefore, the insertion of central venous catheters provides a reliable access for delivering medications, laboratory testing and hemodynamic monitoring, but it is associated with the risk of important complications. In our study, we tested the efficacy and safety of peripherally inserted central catheters to manage cardiac intensive care. Read More

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http://dx.doi.org/10.1177/1129729818758984DOI Listing
September 2018
7 Reads

Ostial left main occlusion following surgical aortic valve replacement (SAVR).

J Card Surg 2018 Mar 1;33(3):139-141. Epub 2018 Mar 1.

Deborah Heart and Lung Center, Brown Mills, New Jersey.

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http://dx.doi.org/10.1111/jocs.13551DOI Listing
March 2018
4 Reads

Intra-Aortic Balloon Pump Simulating Thoracic Aortic Dissection.

J Comput Assist Tomogr 2018 Jul/Aug;42(4):630-631

From the Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL.

We present a 70-year-old woman who had an intra-aortic balloon pump (IABP) in its deflated state in the aorta during a computed tomography angiogram scan. The scan was performed to assess for aortic dissection. The deflated IABP created a curvilinear filling defect in the aortic lumen that suggested an intimal flap. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000728DOI Listing
August 2018
3 Reads

Intra-Aortic Balloon Pump Use Before Left Ventricular Assist Device Implantation: Insights From the INTERMACS Registry.

ASAIO J 2018 Mar/Apr;64(2):218-224

From the Duke Clinical Research Institute, Department of Medicine, and Department of Surgery, Duke University School of Medicine, Durham, North Carolina.

Use of durable, continuous-flow left ventricular assist devices (LVADs) has expanded rapidly, although data are limited regarding optimization strategies before LVAD implantation. We examined current use of intra-aortic balloon pumps (IABPs) before LVAD implantation and compared outcomes of patients with IABP use to those without. We analyzed data from the Interagency Registry for Mechanical Assisted Circulatory Support (INTERMACS) on patients who underwent LVAD implantation between 2006 and 2014. Read More

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http://Insights.ovid.com/crossref?an=00002480-201803000-0001
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http://dx.doi.org/10.1097/MAT.0000000000000629DOI Listing
March 2019
12 Reads

Prophylactic intra-aortic balloon counterpulsation before surgical myocardial revascularization in patients with acute myocardial infarction.

Perfusion 2018 07 18;33(5):390-400. Epub 2018 Feb 18.

1 Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany.

Introduction: Prophylactic intra-aortic balloon counterpulsation (pIABC) is recommended for high-risk patients undergoing coronary artery bypass grafting (CABG) surgery. Criteria for high-risk patients benefiting from pIABC are unclear. This study aimed to specifically describe the effect of pIABC on outcomes of patients with acute myocardial infarction (AMI) undergoing CABG. Read More

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http://journals.sagepub.com/doi/10.1177/0267659118760384
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http://dx.doi.org/10.1177/0267659118760384DOI Listing
July 2018
15 Reads

Six-Month Outcomes After High-Risk Coronary Artery Bypass Graft Surgery and Preoperative Intra-aortic Balloon Counterpulsation Use: An Inception Cohort Study.

J Cardiothorac Vasc Anesth 2018 10 5;32(5):2067-2073. Epub 2018 Jan 5.

Monash University, Melbourne, VIC, Australia; Monash Medical Centre, Melbourne, VIC, Australia.

Objective: To inform the design of a pivotal randomized controlled trial of prophylactic intra-aortic balloon counterpulsation (IABC) in patients undergoing coronary artery bypass graft (CABG) at high risk of postoperative low cardiac output syndrome (LCOS).

Design: Inception cohort study.

Setting: A total of 13 established cardiac centers in Australia, Canada, New Zealand, and the United Kingdom. Read More

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http://dx.doi.org/10.1053/j.jvca.2018.01.005DOI Listing
October 2018
20 Reads

BVS, RDN, IABP: The Afghanistan of interventional cardiology trials.

Authors:
Sundeep Mishra

Indian Heart J 2018 Jan - Feb;70(1):1-3

Department of Cardiology, New Delhi, India. Electronic address:

In the field of medicine and cardiology newer therapy and devices have been launched with a huge promise and a lot of hype. Unfortunately, over the course of time, a good many of them like biovascular scaffold, renal denervation and intra-aortic balloon pump have failed to live up to their initial promise so much so that some of them have been withdrawn. The reason for this downfall may be multifold from incomplete understanding of the patho-physiology of disease, incomplete understanding of mechanism of action of the therapy, in-appropriate application in clinical practice, in-efficient therapy development related to flawed trial design, regulatory impediments placed on the trials or deficits in application of scientific techniques. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00194832183001
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http://dx.doi.org/10.1016/j.ihj.2018.01.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903016PMC
July 2018
23 Reads

Short-term outcomes of preoperative intra-aortic balloon pump use in patients undergoing adjunctive coronary endarterectomy: a retrospective observational study.

Perfusion 2018 09 16;33(6):426-432. Epub 2018 Feb 16.

1 Center for Cardiac Intensive Care, Capital Medical University Affiliated Anzhen Hospital, Beijing, People's Republic of China.

Background: Coronary artery bypass grafting (CABG) combined with coronary endarterectomy (CE) can be associated with high operative mortality and morbidity. An intra-aortic balloon pump (IABP) has been the most widely used mechanical circulatory support device during perfusion treatment. However, the benefits of preoperative IABP in CABG combined with CE remain unknown. Read More

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http://dx.doi.org/10.1177/0267659118759594DOI Listing
September 2018
8 Reads

Nonprimary PCI at hospitals without cardiac surgery on-site: Consistent outcomes for all?

Am Heart J 2018 03 6;197:18-26. Epub 2017 Nov 6.

School of Medicine, Johns Hopkins University, Baltimore, MD. Electronic address:

Background: The CPORT-E trial showed the noninferiority of nonprimary percutaneous coronary intervention (PCI) at hospitals without cardiac surgery on-site (SoS) compared with hospitals with SoS for 6-week mortality and 9-month major adverse cardiac events (MACE). However, target vessel revascularization (TVR) was increased at non-SoS hospitals. Therefore, we aimed to determine the consistency of the CPORT-E trial findings across the spectrum of enrolled patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00028703173035
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http://dx.doi.org/10.1016/j.ahj.2017.10.023DOI Listing
March 2018
4 Reads

Revision: prognostic impact of baseline glucose levels in acute myocardial infarction complicated by cardiogenic shock-a substudy of the IABP-SHOCK II-trial.

Clin Res Cardiol 2018 Jun 8;107(6):517-523. Epub 2018 Feb 8.

Department of Internal Medicine/Cardiology, University of Leipzig-Heart Centre Leipzig, Strümpellstr. 39, 04289, Leipzig, Germany.

Background: Limited data from observational retrospective studies suggest an association between glucose levels and prognosis of patients with cardiogenic shock (CS). The aim of this study was to investigate the prognostic role of glucose at admission in patients with acute myocardial infarction (AMI) complicated by CS included in the largest CS trial to date, the Intraaortic Balloon Pump in Cardiogenic Shock II (IABP-SHOCK II) trial.

Methods And Results: In the IABP-SHOCK II-trial, patients with CS complicating AMI undergoing early revascularization were randomized to a therapy with vs. Read More

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http://dx.doi.org/10.1007/s00392-018-1213-7DOI Listing
June 2018
12 Reads

Predictors of cardiogenic shock in cardiac surgery patients receiving intra-aortic balloon pumps.

Surgery 2018 06 1;163(6):1317-1323. Epub 2018 Feb 1.

Division of Cardiac Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. Electronic address:

Background: Cardiogenic shock after cardiac surgery leads to severely increased mortality. Intra-aortic balloon pumps may be used during the preoperative period to increase coronary perfusion. The purpose of this study was to characterize predictors of postoperative cardiogenic shock in cardiac surgery patients with and without intra-aortic balloon pumps support. Read More

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http://dx.doi.org/10.1016/j.surg.2017.11.021DOI Listing
June 2018
3 Reads