Intra-aortic balloon pumping in infants and children

• Published in: Circulation (New York, N.Y.) Vol. 68; no. 5; pp. 1095 - 1100
• Main Authors: VEASY, L. G, BLALOCK, R. C, ORTH, J. L, BOUCEK, M. M
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01.11.1983
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Assisted Circulation; Biological and medical sciences; Blood Pressure; Body Weight; Child; Child, Preschool; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; Female; Heart Defects, Congenital - surgery; Humans; Infant; Intensive care medicine; Intra-Aortic Balloon Pumping - instrumentation; Male; Medical sciences; Miniaturization; Postoperative Care; Pediatrics; Cardiocirculatory assistance; Cuffed tube; Aorta; Infant; Contrepulsation; Child; Resuscitation
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/01.cir.68.5.1095

From November 1981 to November 1982, intra-aortic balloon pumping (IABP) was used after surgery in eight patients who were from 6 weeks to 6 years old and who weighed from 4.2 to 16.2 kg. In seven patients, specially constructed intra-aortic balloons with 2.5 and 5.0 ml volumes mounted on No. 5F catheters were used. In the largest and oldest patient, a two-chamber 10 ml balloon was used. The pumping module used was the Datascope System 82. Effective diastolic augmentation of arterial pressure was accomplished in seven of the eight patients and suprasystolic diastolic augmentation was accomplished in four. The two youngest and smallest patients are the only long-term survivors. There were two short-term survivors who died 5 and 10 days after successful IABP. In only one patient was there no appreciable effect of IABP. Miniaturization of the equipment has permitted IABP to be used effectively in pediatric patients.