Experience with intra-aortic balloon pumping preventively used in patients with a low left ventricular ejection fraction, operated on under extracorporeal circulation

One hundred and fifty-six patients with coronary heart disease and a low (less than 30%) left ventricular ejection fraction (EF), operated on under extracorporeal circulation and preventive intra-aortic balloon pumping (IABP) were examined. The latter was found to promote the maintenance of stable h...

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Published inAnesteziologiia i reanimatologiia no. 6; p. 51
Main Authors Lomivorotov, V V, Kornilov, I A, Cherniavskiĭ, A M, Sidel'nikov, S G, Deriagin, M N, Kalinin, R A, Safin, D R
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.11.2009
Subjects
Aftercare
Blood Flow Velocity - physiology
Cardiac Catheterization
Coronary Artery Bypass, Off-Pump - adverse effects
Coronary Disease - surgery
Extracorporeal Circulation - adverse effects
Female
Hemodynamics - physiology
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Postoperative Complications - prevention & control
Stroke Volume - physiology
Ventricular Dysfunction, Left - surgery
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Summary:One hundred and fifty-six patients with coronary heart disease and a low (less than 30%) left ventricular ejection fraction (EF), operated on under extracorporeal circulation and preventive intra-aortic balloon pumping (IABP) were examined. The latter was found to promote the maintenance of stable hemodynamic parameters during and after surgery. Postoperative acute heart failure developed in 101 (64.7%) patients. Mortality was 9.6% (15 patients), in 9 cases death occurred after acute heart failure. There were no intra- and postoperative cases of lower extremity ischemia. Thus, preventive IABP is a safe and effective procedure in patients with low myocardial contractility (EF less than 30%), operated on under extracorporeal circulation.
ISSN:0201-7563