Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
12
|
| pubmed:dateCreated |
1993-8-11
|
| pubmed:abstractText |
Intra-aortic balloon counterpulsation (IABP) is a relatively non-invasive method of circulating assistance, easy to use and which has benefitted from a number of technological improvements in recent years. This retrospective study over 4 years was undertaken to analyse the results of IABP and to determine its role in therapeutic arsenal against cardiac failure. Sixty five patients, 57 coronary and 8 valvular cases, with an average age of 61 +/- 10 years were included. The indications of IABP were: a bridge to transplantation (3 cases), complications of coronary angioplasty (4 cases), and low cardiac output after cardiopulmonary bypass (58 cases), where IABP was curative in 85% of cases and prophylactic in 15% of cases (patients with risk factors of low output state after CPB). Beforehand, 65% of patients had poor left ventricular function (LVEF < 40% and/or CI < 2.2 l/mn/m2). An Aries Medical M700 console was used. The percutaneous femoral approach was feasible in 87% of cases. The results were: improvement with discharge from intensive care unit in 60% of cases, transient improvement in 7% of cases, no improvement in 15% of cases and cardiac transplantation in 8% of cases. The outcome was worse when the preoperative LV function was poor and when high dose inotropic agents had to be used. Survival was 100% in those patients in whom IABP was a prophylactic measure. The average duration of IABP was 72 hours, survival being significantly lower in those in whom IABP was continued for over 3 days. The complications (12.7%) were thromboembolic.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
fre
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0003-9683
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
85
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1805-10
|
| pubmed:dateRevised |
2009-2-13
|
| pubmed:meshHeading |
pubmed-meshheading:1306622-Aged,
pubmed-meshheading:1306622-Cardiac Surgical Procedures,
pubmed-meshheading:1306622-Coronary Disease,
pubmed-meshheading:1306622-Counterpulsation,
pubmed-meshheading:1306622-Female,
pubmed-meshheading:1306622-Heart Valve Diseases,
pubmed-meshheading:1306622-Humans,
pubmed-meshheading:1306622-Male,
pubmed-meshheading:1306622-Middle Aged,
pubmed-meshheading:1306622-Retrospective Studies,
pubmed-meshheading:1306622-Survival Analysis,
pubmed-meshheading:1306622-Ventricular Function, Left
|
| pubmed:year |
1992
|
| pubmed:articleTitle |
[Current role of intra-aortic diastolic balloon counterpulsation in heart surgery].
|
| pubmed:affiliation |
Département d'anesthésie-réanimation, hôpital cardiologique, Lyon.
|
| pubmed:publicationType |
Journal Article,
English Abstract
|