4,284 results match your criteria Intra-aortic Balloon Counterpulsation


Intra-aortic balloon counterpulsation timing: A new numerical model for programming and training in the clinical environment.

Comput Methods Programs Biomed 2020 05 15;194:105537. Epub 2020 May 15.

Department of Cardiovascular Respiratory Nephrologic and Geriatric Sciences, Sapienza University of Rome, Italy. Electronic address:

Background And Objective: The intra-aortic balloon pump (IABP) is the most widely available device for short-term mechanical circulatory support, often used to wean off cardiopulmonary bypass or combined with extra-corporeal membrane oxygenation support or as a bridge to a left ventricular assist device. Although based on a relatively simple principle, its complex interaction with the cardiovascular system remains challenging and open to debate. The aim of this work was focused on the development of a new numerical model of IABP. Read More

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http://dx.doi.org/10.1016/j.cmpb.2020.105537DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228691PMC

Future Perspectives of Intra-Aortic Balloon Pumping for Cardiogenic Shock.

Int Heart J 2020 May 15;61(3):424-428. Epub 2020 May 15.

Second Department of Internal Medicine, University of Toyama.

An intra-aortic balloon pump (IABP) is a device of internal counterpulsation. Inflation of the balloon in diastole results in a potential increase in coronary blood flow and an improvement in systemic perfusion, and deflation at the end of diastole reduces left ventricular afterload, although the hemodynamic effects are relatively small. With its favorable safety profile due to fewer adverse events, IABP has been used for more than 5 decades as the most common mechanical circulatory support device for cardiogenic shock. Read More

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http://dx.doi.org/10.1536/ihj.20-004DOI Listing

[Jiangsu Province Coronary Artery Bypass Grafting Registry study: a report of 4 661 patients in 13 centers].

Zhonghua Wai Ke Za Zhi 2020 May;58(5):350-355

Department of Cardiovascular Surgery, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing First Hospital, Nanjing Cardiovascular Hospital, Nanjing 210006, China.

To examine the overall status of the Jiangsu Province Coronary Artery Bypass Grafting Registry database. The patients date of Jiangsu Province Coronary Artery Bypass Grafting Registry database from October 2017 to December 2019 was collected retrospectively.Risk factors, history, cardiac function (New York Heart Association class), extent of coronary artery lesion, European system for cardiac operative risk evaluation Ⅱ (EuroSCORE Ⅱ), cardiopulmonary bypss, arterial grafts, the numbers and flow of grafts and postoperative major adverse cardiac and cerebrovascular event(MACCE) information were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.cn112139-20200205-00063DOI Listing

Ultrasound-guided insertion of intra-aortic balloon counterpulsation in intensive care: description of the technique.

Ultrasound J 2020 Apr 21;12(1):23. Epub 2020 Apr 21.

Emergency Medicine Department of Ultrasound and Simulation, Universidad del Rosario, Bogotá, Colombia.

Intra-aortic balloon counterpulsation (IAoBC) is a mechanical circulatory support device that has been used for more than 50 years, mainly for cardiogenic shock. Although its effect on mortality is controversial, IAoBC is still used in a wide variety of pre- and postoperative clinical settings in cardiac surgery centers. IAoBC has a complication rate of approximately 30%, mostly associated with problems during insertion and malpositioning. Read More

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http://dx.doi.org/10.1186/s13089-020-00166-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174474PMC

Clinical Factors Associated with In-Hospital Mortality in Patients with Acute Myocardial Infarction Who Required Intra-Aortic Balloon Pumping.

Int Heart J 2020 Mar 14;61(2):209-214. Epub 2020 Mar 14.

Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.

Recent guidelines do not recommend the routine use of intra-aortic balloon pumping (IABP) for patients with cardiogenic shock. However, IABP support is still selected for acute myocardial infarction (AMI) in clinical practice because an Impella device did not show superiority over IABP and the mortality of AMI with cardiogenic shock is still high. This study aimed to find factors associated with in-hospital mortality in patients with AMI who required IABP support. Read More

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http://dx.doi.org/10.1536/ihj.19-368DOI Listing

Emergent TandemHeart-ECMO for acute severe mitral regurgitation with cardiogenic shock and hypoxaemia: a case series.

Eur Heart J Case Rep 2020 Feb 6;4(1):1-6. Epub 2020 Jan 6.

Department of Heart Failure and Transplant, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA.

Background : Acute severe mitral regurgitation (MR) associated with cardiogenic shock is a life-threatening emergency. Traditional teaching has focused on the need for emergent coronary angiography and/or intra-aortic balloon counterpulsation in preparation for emergent open-heart surgery for repair/replacement. Unfortunately, emergent open-heart surgery in patients with acute MR complicated by cardiogenic shock is associated with 25-46% perioperative mortality. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047057PMC
February 2020

Comparison of Levosimendan Versus IABP in Patients with Poor Left Ventricular Function Undergoing Coronary Artery Bypass Graft Surgery.

Heart Surg Forum 2020 02 27;23(1):E093-E097. Epub 2020 Feb 27.

Cardiothoracic Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Objectives: The aim of this study was to compare the use of levosimendan versus intra-aortic balloon pump (IABP) in patients with poor left ventricular function undergoing coronary artery bypass grafting (CABG) with ejection fraction less than 35%.

Methods: Between February 2016 and March 2019, a prospective randomized study was performed on a group of 279 consecutive patients with left ventricular ejection fraction < 35%, who underwent elective CABG without concomitant procedures. These patients were divided into 2 groups, according to the treatment they received - either levosimendan (Group A) or intra-aortic balloon counterpulsation (Group B). Read More

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http://dx.doi.org/10.1532/hsf.2731DOI Listing
February 2020

LVAD versus balloon pump in patients with AMI.

Authors:
Karina Huynh

Nat Rev Cardiol 2020 May;17(5):266

Nature Reviews Cardiology, .

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http://dx.doi.org/10.1038/s41569-020-0357-0DOI Listing

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 31:2048872619895230. 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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http://dx.doi.org/10.1177/2048872619895230DOI Listing
January 2020

Venoarterial extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock-A six-year service evaluation.

Artif Organs 2020 Jan 22. Epub 2020 Jan 22.

Department of Cardiothoracic Surgery and Transplantation, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Only a small number of English hospitals provide postcardiotomy venoarterial extracorporeal membrane oxygenation (VA-ECMO) and there are doubts about its efficacy and safety. The aim of this service evaluation was to determine local survival rates and report on patient demographics. This was a retrospective service evaluation of prospectively recorded routine clinical data from a tertiary cardiothoracic center in the United Kingdom offering services including cardiac and thoracic surgery, heart and lung transplantation, venovenous extracorporeal membrane oxygenation (VV-ECMO) for respiratory failure, and all types of mechanical circulatory support. Read More

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http://dx.doi.org/10.1111/aor.13647DOI Listing
January 2020

ECMO and Right Ventricular Failure: Review of the Literature.

J Intensive Care Med 2020 Jan 22:885066619900503. Epub 2020 Jan 22.

Boston MedFlight, Bedford, MA, USA.

Right ventricular (RV) failure is the inability of the RV to maintain sufficient cardiac output in the setting of adequate preload, due to either intrinsic injury to the RV or increased afterload. Medical treatment of RV failure should include optimizing preload, augmenting contractility with vasopressors and inotropes, and considering inhaled pulmonary vasodilators. However, when medical therapies are insufficient, mechanical circulatory support (MCS) is needed to maintain systemic and RV perfusion. Read More

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http://dx.doi.org/10.1177/0885066619900503DOI Listing
January 2020

Reduced Number of Platelets During Intra-Aortic Balloon Pumping Counterpulsation Predicts Higher Cardiovascular Mortality After Device Removal in Association with Systemic Inflammation.

Int Heart J 2020 Jan 17;61(1):89-95. Epub 2020 Jan 17.

Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.

Thrombocytopenia is a frequent complication in patients requiring intra-aortic balloon pumping (IABP) counterpulsation. However, its prognostic impact has not been fully addressed. The objective of this study is to evaluate the impact of the change in the platelet number during IABP use on the prognosis after device removal. Read More

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http://dx.doi.org/10.1536/ihj.19-349DOI Listing
January 2020

Intra-Aortic Balloon Pump Catheter Insertion Using a Novel Left External Iliac Artery Approach in A Case of Chronic Heart Failure Due to Dilated Cardiomyopathy.

Am J Case Rep 2019 Dec 7;20:1826-1829. Epub 2019 Dec 7.

Department of Intensive Cardiac Therapy, Institute of Cardiology, Warsaw, Poland.

BACKGROUND The use of an intra-aortic balloon pump (IABP) in patients with advanced heart failure can provide interim mechanical support as a bridge to further treatment, including cardiac transplantation. The femoral artery, axillary artery, and subclavian artery are the main approaches to IABP catheter placement. A case is reported of the use of a left external iliac artery approach to IABP catheter placement using a subcutaneous channel in a patient with chronic heart failure. Read More

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http://dx.doi.org/10.12659/AJCR.920554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913267PMC
December 2019

Successful treatment of fulminant myocarditis in an adult in emergency department: A case report.

Medicine (Baltimore) 2019 Dec;98(49):e18292

Department of Emergency, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Rationale: Fulminant myocarditis (FM) has poor prognosis and the usual treatment is inotropes and symptomatic support. The initiation of extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pumping (IABP) in the emergency department (ED) is a rare event.

Patient Concerns: We report the case of a 45-year-old man with a complaint of 4 days of high fever and dry cough in the emergency department. Read More

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http://dx.doi.org/10.1097/MD.0000000000018292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919446PMC
December 2019

Intra-aortic balloon pump does not influence cerebral hemodynamics and neurological outcomes in high-risk cardiac patients undergoing cardiac surgery: an analysis of the IABCS trial.

Ann Intensive Care 2019 Nov 27;9(1):130. Epub 2019 Nov 27.

Department of Cardiopneumology, Universidade de São Paulo, São Paulo, Brazil.

Background: The intra-aortic balloon pump (IABP) is often used in high-risk patients undergoing cardiac surgery to improve coronary perfusion and decrease afterload. The effects of the IABP on cerebral hemodynamics are unknown. We therefore assessed the effect of the IABP on cerebral hemodynamics and on neurological complications in patients undergoing cardiac surgery who were randomized to receive or not receive preoperative IABP in the 'Intra-aortic Balloon Counterpulsation in Patients Undergoing Cardiac Surgery' (IABCS) trial. Read More

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http://dx.doi.org/10.1186/s13613-019-0602-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879692PMC
November 2019

[Acute myocardial infarction complicated with cardiac arrest successfully managed by extracorporeal membrane oxygenation combined with intra-aortic balloon counterpulsation: a case report].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Oct;31(10):1289-1291

Department of Critical Care Medicine, the First People's Hospital of Foshan, Foshan 528000, Guangdong, China. Corresponding author: Zhou Lixin, Email:

Objective: Patients in acute myocardial infarction (AMI) with serious complications such as malignant ventricular arrhythmia and cardiogenic shock couldn't receive emergency percutaneous coronary intervention (PCI) procedures and had high perioperative mortality. A case of AMI patients who suffered cardiac arrest and long-term cardiopulmonary resuscitation (CPR) was admitted to the department of critical care medicine of the First People's Hospital of Foshan. With the assistance of extracorporeal membrane oxygenation (ECMO), PCI and intra-aortic balloon counterpulsation (IABP) were performed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.10.021DOI Listing
October 2019

Impact of the Change in ESC Guidelines on Clinical Characteristics and Outcomes of Cardiogenic Shock Patients Receiving IABP Therapy.

Cardiovasc Revasc Med 2020 Jan 22;21(1):46-51. Epub 2019 Oct 22.

Cardiology Department, Barzilai University Medical Center, Ashkelon, Israel. Electronic address:

Background: Intra-aortic balloon pump (IABP) counterpulsation provides mechanical support for patients with cardiogenic shock. The aim of the study is to evaluate the clinical characteristics and outcomes of patients with cardiogenic shock receiving IABP before and after the European Society of Cardiology (ESC) downgraded the use of IABP from a class I to a class IIb in 2012.

Methods: Data was obtained from the Acute Coronary Syndrome Israeli Survey (ACSIS) registry, a prospective observational national survey conducted once every two years. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.09.014DOI Listing
January 2020

Aortic Valve Replacement with Bovine Pericardium in Patients with Aortic Valve Regurgitation.

Int Heart J 2019 Nov 15;60(6):1344-1349. Epub 2019 Nov 15.

Department of Cardiovascular Surgery, First Affiliated Hospital of Zhengzhou University.

This study aimed to analyze the early and mid-term outcomes of aortic valve replacement with bovine pericardium in the treatment of aortic valve regurgitation.From January 2015 to March 2018, 36 patients (19 men; mean ± standard deviation [SD] age, 46.70 ± 16. Read More

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http://dx.doi.org/10.1536/ihj.18-695DOI Listing
November 2019

Imaging of Cardiac Support Devices.

Radiol Clin North Am 2020 Jan;58(1):151-165

Cardiothoracic Radiology, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.

Patients hospitalized in the intensive care unit (ICU) often have multiple support lines and devices that need routine imaging evaluation by radiologists. In patients with cardiogenic shock or depressed cardiac function, mechanical circulation support devices are used in combination with medical therapies to improve patient outcomes and sometimes can stabilize patients for surgical intervention. This article discusses some of the more commonly encountered mechanical circulation devices seen in ICU patients, including intra-aortic balloon pumps, Impella devices, extracorporeal membrane oxygenation cannulas, and ventricular assist devices. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.08.012DOI Listing
January 2020

Outcome predictors of cardiogenic shock complicating ST-segment elevation myocardial infarction.

Tunis Med 2019 Mar;97(3):476-483

Background: Cardiogenic shock complicating ST elevation myocardial infarction is burdened by a high mortality. There is only limited evidence for the management except for early revascularization and the relative ineffectiveness of intra-aortic balloon pump.

Aim: Our objectives were to evaluate outcome and predictors of early all-cause 30-day mortality in the setting of cardiogenic shock complicating ST elevation myocardial infarction. Read More

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The Man with 2 Hearts: 25 Years from Heterotopic to Orthotopic Heart Transplantation.

Tex Heart Inst J 2019 Jun 1;46(3):199-202. Epub 2019 Jun 1.

Substantial technological advances in mechanical circulatory support have caused a shift in the management of end-stage heart failure. From the 1970s through the 1990s, heterotopic heart transplantation was routinely performed in patients in whom orthotopic transplantation was likely to fail. Heterotopic heart transplantation is now performed less often because modern mechanical circulatory assist devices are routinely used as bridges to orthotopic transplantation; regardless, the operation has helped numerous patients who would not otherwise have received adequate allografts. Read More

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http://dx.doi.org/10.14503/THIJ-17-6544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827470PMC

Improvement in left ventricular function following higher-risk percutaneous coronary intervention in patients with ischemic cardiomyopathy.

Catheter Cardiovasc Interv 2019 Nov 6. Epub 2019 Nov 6.

Columbia University Medical Center, New York, New York.

Background: Surgical revascularization is associated with improved ventricular function and clinical outcomes among patients with ischemic cardiomyopathy. There are less extensive data on changes in ventricular function among patients with ischemic cardiomyopathy undergoing percutaneous coronary intervention (PCI). Accordingly, we sought to assess the extent and predictors of change in left ventricular ejection fraction (ΔLVEF) among patients undergoing hemodynamically-supported PCI. Read More

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http://dx.doi.org/10.1002/ccd.28557DOI Listing
November 2019

Volatile anesthetics versus total intravenous anesthesia in patients undergoing coronary artery bypass grafting: An updated meta-analysis and trial sequential analysis of randomized controlled trials.

PLoS One 2019 29;14(10):e0224562. Epub 2019 Oct 29.

Department of Pharmacy, West China Second University Hospital, Sichuan University, Sichuan, China.

Background: The benefits of volatile anesthetics in coronary artery bypass grafting (CABG) patients remain controversial. We aimed to conduct an updated meta-analysis to assess whether the use of volatile anesthetics during CABG could reduce mortality and other outcomes.

Methods: We searched eight databases from inception to June 2019 and included randomized controlled trials (RCTs) comparing the effects of volatile anesthetics versus total intravenous anesthesia (TIVA) in CABG patients. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0224562PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6818786PMC

The use of prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting.

PLoS One 2019 28;14(10):e0224273. Epub 2019 Oct 28.

Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Objective: Intra-aortic balloon pump (IABP) is one of the most commonly used mechanical circulatory assist devices for high-risk patients undergoing cardiac surgery. In an effort to validate previously reported clinical outcomes, we describe the preoperative characteristics and outcomes of patients who underwent prophylactic IABP in high-risk patients undergoing coronary artery bypass grafting (CABG).

Design: A prospective observational study. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0224273PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816571PMC

Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients With Cardiogenic Shock Resulting from Acute Myocardial Infarction Versus Acute Decompensated Heart Failure.

Am J Cardiol 2019 12 26;124(12):1947-1953. Epub 2019 Sep 26.

Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Electronic address:

The intra-aortic balloon pump (IABP) neither benefits nor harms patients with acute myocardial infarction (AMI) with cardiogenic shock (CS) but may stabilize those with chronic heart failure who decompensate into CS. We sought to compare its hemodynamic effects in these 2 populations. We performed a retrospective analysis of the hemodynamic effects of IABP for AMI or acute decompensated heart failure (ADHF) patients with hemodynamic evidence of CS. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.09.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937209PMC
December 2019
1 Read

Impact of Coronary Collateral Circulation of Perioperative Myocardial Damage in High-Risk Patients Undergoing Coronary Artery Bypass Grafting Surgery.

Heart Surg Forum 2019 Sep 11;22(5):E375-E379. Epub 2019 Sep 11.

Department of Cardiovascular Surgery, University of Health Sciences Adana City Training and Research Hospital, Adana, Turkey.

Background: Coronary collateral circulation (CCC) is a small vascular formation that allows the connection between the different parts of an epicardial vessel or other vessels. The presence of collateral circulation contributes positively to the course of coronary artery disease (CAD). The aim of this study was to investigate the effect of collateral circulation on myocardial injury and clinical outcomes during coronary artery bypass grafting (CABG) in a high-risk patient group. Read More

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http://dx.doi.org/10.1532/hsf.2483DOI Listing
September 2019
1 Read

[Thoracentesis under Standing with Assistance of a Tilt Table in Critical Patients after Cardiovascular Surgery].

Kyobu Geka 2019 Oct;72(11):897-900

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu, Japan.

For safe and effective drainage in patients with pleural effusion after cardiac surgery, ultrasound-guided thoracocentesis was carried out under standing with assistance of a tilt table. Thoracocentesis was performed in 5( 11%) of the 44 patients who were treated under passive orthostatism using a tilt table. Four cases were under intubated-ventilator assist, and 2 cases were under intraaortic balloon pumping( IABP). Read More

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October 2019
1 Read

[How to Insert an Intraaortic Balloon Pumping(IABP)].

Kyobu Geka 2019 Sep;72(10):729-733

Department of Cardiovascular Surgery, Kyorin University, Mitaka, Japan.

The Intra Aortic Balloon Pumping( IABP) is a circulatory assist device widely used in cardiovascular surgery area. The IABP increases coronary perfusion and (may increase?)intracranial blood flow through diastolic augmentation mechanism and it reduces afterload and myocardial oxygen consumption through systolic unloading mechanism. Safer insertion of the IABP is able to be accomplished with the assistance of radioscopy or a transesophageal echocardiography(TEE). Read More

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September 2019

Superior mesenteric flow pattern during counterpulsation: is simply a shorter balloon the solution for visceral hypoperfusion?

Interact Cardiovasc Thorac Surg 2020 01;30(1):121-128

Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands.

Objectives: We studied the flow pattern in the superior mesenteric artery (SMA) during intra-aortic balloon pump support, comparing 2 intra-aortic balloons of 2 different lengths.

Methods: Sixteen Landrace pigs (mean weight 84.0 kg ± 6. Read More

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http://dx.doi.org/10.1093/icvts/ivz230DOI Listing
January 2020
1 Read

Mechanical circulatory support in the context of coronary artery bypass grafting.

Curr Opin Cardiol 2019 11;34(6):650-655

Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Purpose Of Review: With the continuous innovation in mechanical circulatory support as an option for the management of patients in cardiogenic shock from myocardial infarction, it is important to understand the current evidence and recommendations for the use of these devices for patients who require or underwent coronary artery bypass surgery.

Recent Findings: The use of mechanical circulatory support (MCS) in patients with cardiogenic shock who require or underwent coronary artery bypass surgery has not been well studied. Observational studies have shown that the use of intra-aortic balloon pump or percutaneous ventricular assist devices prior to revascularization lead to better survival. Read More

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http://dx.doi.org/10.1097/HCO.0000000000000685DOI Listing
November 2019
2 Reads

Fulminant myocarditis due to the influenza B virus in adults: Report of two cases and literature review

Biomedica 2019 08 1;39(Supl. 2):11-19. Epub 2019 Aug 1.

Grupo de Investigación en Enfermedades Infecciosas, Servicio de Infectología, Fundación Clínica Shaio, Bogotá, D.C., Colombia.

La miocarditis es una enfermedad inflamatoria del miocardio. Las infecciones virales son la causa más común, aunque también puede deberse a reacciones de hipersensibilidad y de etiología autoinmunitaria, entre otras. El espectro clínico de la enfermedad es variado y comprende desde un curso asintomático, seguido de dolor torácico, arritmias y falla cardiaca aguda, hasta un cuadro fulminante. Read More

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http://dx.doi.org/10.7705/biomedica.v39i3.4645DOI Listing
August 2019
2 Reads

Mechanical Circulatory Support in Transcatheter Aortic Valve Implantation in the United States (from the National Inpatient Sample).

Am J Cardiol 2019 11 23;124(10):1615-1620. Epub 2019 Aug 23.

Hackensack University Medical Center, Hackensack, New Jersey.

Acute circulatory collapse may rarely occur during transcatheter aortic valve implantation (TAVI). In such cases, immediate mechanical circulatory support (MCS) as a bridge to remedial interventions may be required. To define the rate of MCS utilization in TAVI patients and identify the predictors of MCS utilization in a cohort of TAVI patients. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.08.013DOI Listing
November 2019
2 Reads

Percutaneous mechanical circulatory support devices in high-risk patients undergoing percutaneous coronary intervention: A meta-analysis of randomized trials.

Medicine (Baltimore) 2019 Sep;98(37):e17107

Department of Cardiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background: Percutaneous mechanical circulatory support devices (pMCSDs) are increasingly used on the assumption (but without solid proof) that their use will improve prognosis. A meta-analysis was undertaken according to the PRISMA guidelines to evaluate the benefits of pMCSDs in patients undergoing high-risk percutaneous coronary intervention (hr-PCI).

Methods: We searched PubMed, EMbase, Cochrane Library, Clinical Trial. Read More

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http://dx.doi.org/10.1097/MD.0000000000017107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6750338PMC
September 2019
5 Reads

Spinal Epidural Hematoma Following Epidural Catheter Removal in a Patient with Postoperative Urgent Coronary Intervention and Intra-Aortic Balloon Pumping (IABP): A Case Report.

Am J Case Rep 2019 Sep 13;20:1356-1359. Epub 2019 Sep 13.

Department of Anesthesiology, Fukuoka University Hospital, Fukuoka City, Fukuoka, Japan.

BACKGROUND It is still challenging to remove an epidural catheter in a postoperative patient receiving urgent antiplatelet and anticoagulation therapy for acute coronary syndrome. CASE REPORT While under general anesthesia combined with thoracic epidural anesthesia, a 72-year-old male patient underwent right radical nephrectomy for renal cell carcinoma. On postoperative day 1 (POD1), the patient experienced bradycardia and a decrease in blood pressure, and he was diagnosed acute myocardial infarction. Read More

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http://dx.doi.org/10.12659/AJCR.917716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755375PMC
September 2019
9 Reads

Timing of initiation of intra-aortic balloon pump in patients with acute myocardial infarction complicated by cardiogenic shock: A meta-analysis.

Clin Cardiol 2019 Nov 11;42(11):1126-1134. Epub 2019 Sep 11.

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.

Background: For patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) undergoing primary percutaneous coronary intervention (PCI), the optimal timing of the initiation of intra-aortic balloon pump (IABP) therapy remains unclear. Therefore, we performed the first meta-analysis to compare the outcomes of IABP insertion before vs after primary PCI in this population.

Methods: Electronic databases of PubMed, EMBASE, and Cochrane Library were comprehensively searched from inception to April 1, 2019, to identify the eligible studies. Read More

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http://dx.doi.org/10.1002/clc.23264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837021PMC
November 2019
2 Reads
2.225 Impact Factor

Additional Use of a 6-Fr Intra-Aortic Balloon Pump on Extracorporeal Membrane Oxygenation Was Effective in a Patient with Cardiogenic Shock with Low Pulse Pressure.

Int Heart J 2019 Sep 4;60(5):1184-1188. Epub 2019 Sep 4.

Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine.

We report the case of a 79-year-old man with acute myocardial infarction caused by left main trunk lesion, who experienced cardiogenic shock during percutaneous coronary intervention (PCI). To reverse the cardiogenic shock, we initiated veno-arterial extra corporeal membrane oxygenation (VA-ECMO) without an intra-aortic balloon pump (IABP) due to the severe tortuosity of the left external iliac artery. Although PCI was successful, arterial pressure monitoring revealed that the pulse pressure was too low to recover from the cardiogenic shock of decreased cardiac contraction function (the left ventricular ejection fraction was 30%). Read More

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http://dx.doi.org/10.1536/ihj.18-643DOI Listing
September 2019
1 Read

Intra-aortic balloon pump in acute chest pain and cardiogenic shock - a long-term follow-up.

Scand Cardiovasc J 2019 Dec 3;53(6):337-341. Epub 2019 Sep 3.

Department of Cardiology.

Coronary revascularisation and intra-aortic balloon pump (IABP) has been considered the gold standard treatment of acute coronary syndrome with cardiogenic shock, recently challenged by the SHOCK II study. The aim of this non-randomised study was to investigate the long term prognosis after immediate IABP supported angiography, in patients with acute chest pain and cardiogenic shock, treated with percutaneous coronary intervention (PCI), cardiac surgery or optimal medical treatment. We assessed data from 281 consecutive patients admitted to our department from 2004 to 2010. Read More

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http://dx.doi.org/10.1080/14017431.2019.1657938DOI Listing
December 2019
3 Reads

Numerical analysis of aortic hemodynamics under the support of venoarterial extracorporeal membrane oxygenation and intra-aortic balloon pump.

Comput Methods Programs Biomed 2019 Dec 19;182:105041. Epub 2019 Aug 19.

Shanghai East Hospital, Tongji University, 150 Jimo Rd., Pudong District, Shanghai 100124, China.

Background And Objective: A gap still exists in the hemodynamic effect of intra-aortic balloon pump (IABP), venoarterial extracorporeal membrane oxygenation (VA-ECMO), and VA-ECMO plus IABP on the blood perfusion of the coronary artery, brain, and lower limb; the relation between heart flow and ECMO flow; and the wall stress of vessels.

Methods: A finite-element model of the aorta, ECMO, and IABP was proposed to calculate the mechanical response via fluid-structure interaction. Heart failure (HF), IABP, ECMO, and ECMO plus IABP were utilized to study the effect of support models. Read More

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http://dx.doi.org/10.1016/j.cmpb.2019.105041DOI Listing
December 2019

Left ventricular decompression on Veno-arterial extracorporeal membrane oxygenation with intra-aortic balloon Counterpulsation.

J Cardiothorac Surg 2019 Aug 22;14(1):153. Epub 2019 Aug 22.

Columbia University Irving Medical Center, 173 Fort Washington Avenue, Room 4617, 630 West 168th St, New York, NY, 10032, USA.

Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been used increasingly to support patients with cardiogenic shock (CS). There has been growing recognition of the favorable and unfavorable hemodynamic effects of this therapy and recent interest in the use of other percutaneous circulatory support devices to offset some of the potentially harmful hemodynamic effects. Herein, we provide visual evidence of the effects of intra-aortic balloon pump (IABP) counterpulsation for a patient with peripheral VA-ECMO cannulation. Read More

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http://dx.doi.org/10.1186/s13019-019-0970-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6704520PMC
August 2019
5 Reads

Postcardiac arrest ischemia/reperfusion pathophysiology and functional outcome: Can intra-aortic balloon counterpulsation confer any overall or patient-specific benefit?

Resuscitation 2019 10 9;143:214-216. Epub 2019 Aug 9.

First Department of Intensive Care Medicine, National and Kapodistrian University of Athens Medical School, Athens, Greece.

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http://dx.doi.org/10.1016/j.resuscitation.2019.08.005DOI Listing
October 2019

[Effect of goal-directed therapy bundle based on PiCCO parameters to the prevention and treatment of acute kidney injury in patients after cardiopulmonary bypass cardiac operation: a prospective observational study].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Jun;31(6):731-736

Department of Surgical Critical Care Medicine, the Third People's Hospital of Chengdu/Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu 610031, Sichuan, China. Corresponding author: Pan Chuanliang, Email:

Objective: To explore the effect of goal-directed therapy bundle based on pulse-indicated continuous cardiac output (PiCCO) parameters to the prevention and treatment of acute kidney injury (AKI) in patients after cardiopulmonary bypass cardiac operation.

Methods: A prospective observational study was conducted. The adult patients with selective cardiopulmonary bypass cardiac operation admitted to the Third People's Hospital of Chengdu from December 2015 to January 2018 were enrolled. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.06.014DOI Listing
June 2019
4 Reads

Successful treatment of left main coronary artery total occlusion combined with cardiogenic shock.

J Int Med Res 2019 Aug 16;47(8):3940-3945. Epub 2019 Jul 16.

Cardiovascular Department, First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, Guangdong, People's Republic of China.

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http://dx.doi.org/10.1177/0300060519860681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726817PMC
August 2019
2 Reads

Hemodynamic Effects of Mechanical Circulatory Support Devices in Ventricular Septal Defect.

Circ Heart Fail 2019 07 12;12(7):e005981. Epub 2019 Jul 12.

Division of Cardiology, Department of Medicine, Columbia University Medical Center, New York, NY (A.R.G., D.B.).

Background: Ventricular septal defect (VSD) is a lethal complication of acute myocardial infarction (AMI) and is often associated with cardiogenic shock. The optimal form of percutaneous mechanical circulatory support (MCS) for AMI-VSD is unknown.

Methods And Results: We used a previously validated cardiovascular model to simulate AMI-VSD with parameters adjusted to replicate average hemodynamics reported in the literature, including a pulmonary-to-systemic blood flow ratio of 3. Read More

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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.119.005981DOI Listing
July 2019
6 Reads

Aortic counterpulsation for myocardial support: Towards a new paradigm.

Ann Card Anaesth 2019 Jul-Sep;22(3):283-284

Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.4103/aca.ACA_226_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639882PMC
February 2020

Venoarterial extracorporeal membrane oxygenation with or without simultaneous intra-aortic balloon pump support as a direct bridge to heart transplantation: results from a nationwide Spanish registry.

Interact Cardiovasc Thorac Surg 2019 11;29(5):670-677

Complejo Hospitalario Universitario A Coruña (CHUAC), Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain.

Objectives: To investigate the potential clinical benefit of an intra-aortic balloon pump (IABP) in patients supported with venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge to heart transplantation (HT).

Methods: We studied 169 patients who were listed for urgent HT under VA-ECMO support at 16 Spanish institutions from 2010 to 2015. The clinical outcomes of patients under simultaneous IABP support (n = 73) were compared to a control group of patients without IABP support (n = 96). Read More

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http://dx.doi.org/10.1093/icvts/ivz155DOI Listing
November 2019
8 Reads

Is there still a role for the intra-aortic balloon pump in the management of cardiogenic shock following acute coronary syndrome?

Arch Cardiovasc Dis 2019 Dec 24;112(12):792-798. Epub 2019 Jun 24.

Aix-Marseille Université, AP-HM, Mediterranean Association for Research and Studies in Cardiology (MARS Cardio), Centre for CardioVascular and Nutrition research (C2VN), Inserm 1263, INRA 1260, Cardiology Department, Hôpital Nord, 13000 Marseille, France.

The intra-aortic balloon pump has been widely used in the management of cardiogenic shock. Reducing cardiac afterload and myocardial oxygen consumption, and improving coronary blood flow, this safe and simple mechanical circulatory support has been considered the cornerstone of cardiogenic shock management for decades. However, because it failed to provide any clinical benefit in recent randomized trials, the latest guidelines discourage its routine use in this clinical setting. Read More

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http://dx.doi.org/10.1016/j.acvd.2019.04.009DOI Listing
December 2019
3 Reads

ECMO as a rescue therapy for cardiogenic shock and a bridge to LVAD.

JAAPA 2019 Jul;32(7):34-37

At Oregon Health and Science University in Portland, Ore., Michelle Freeman practices in the Department of Anesthesiology and Perioperative Medicine and Marshall Lee is an assistant professor in the Department of Anesthesiology and Perioperative Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

This article describes a patient who presented with an ST-segment elevation myocardial infarction that quickly developed into acute cardiogenic shock refractory to conventional medical therapy. Extracorporeal membrane oxygenation was used to manage the patient's heart failure and bridge to a long-term left ventricular assist device. Read More

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http://dx.doi.org/10.1097/01.JAA.0000558388.24105.e6DOI Listing
July 2019
3 Reads

A Novel Nutritional Index Serves as A Useful Prognostic Indicator in Cardiac Critical Patients Requiring Mechanical Circulatory Support.

Nutrients 2019 Jun 24;11(6). Epub 2019 Jun 24.

Department of Cardiovascular Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo Bunkyo-ku, Tokyo 113-8421, Japan.

Background: A poor nutritional status has been gathering intense clinical interest recently as it has been suggested to associate with adverse outcomes in patients in the intensive care unit (ICU). However, there is still no established nutritional index dominantly used in clinical practice. We have previously proposed a novel nutritional index, which can be calculated using serum levels of triglycerides, total cholesterol, and body weight (TCBI). Read More

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http://dx.doi.org/10.3390/nu11061420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627834PMC
June 2019
4 Reads

Heparineless off-pump coronary artery bypass in a patient with gunshot wound to chest and heart.

J Card Surg 2019 Jul 18;34(7):632-634. Epub 2019 Jun 18.

Division of Cardiothoracic Surgery at Department of Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida.

Objectives: Administration of heparin is standard in coronary artery bypass grafting (CABG) with or without cardiopulmonary bypass (OPCABG). In some circumstances, the risk of heparinization may outweigh its benefits, and there is scarce literature on how to proceed in these cases. We describe the technique used for OPCABG without heparin. Read More

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http://dx.doi.org/10.1111/jocs.14090DOI Listing
July 2019
16 Reads

Utilization and Outcomes of Temporary Mechanical Circulatory Support Devices in Cardiogenic Shock.

Am J Cardiol 2019 08 25;124(4):505-510. Epub 2019 May 25.

University of California Los Angeles, Harbor Medical Center, Los Angles, California.

Cardiogenic shock (CS) is associated with high morbidity and mortality despite recent advances in the temporary mechanical circulatory support (MCS) devices. The current utilization and outcomes of these MCS devices with or without vasopressors compared with conventional medical therapy (no-MCS) in CS remain poorly described. The study population was extracted from the 2014 Nationwide Readmissions Database using International Classification of Diseases, Ninth Revision, Clinical Modification codes for CS, temporary MCS devices, and vasopressor infusion. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.05.032DOI Listing
August 2019
3 Reads