Indications and effect of the intra-aortic balloon pump in 38 patients during the cardiac surgery / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 262-265, 2008.
Article
in Zh
| WPRIM
| ID: wpr-814085
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To review the indications and effect of the intra-aortic balloon pump (IABP) in 38 patients during the cardiac surgery.@*METHODS@#From June 2004 to August 2007, 38 patients were performed IABP in the cardiac surgery, including 28 coronary artery bypass grafting (CABG) and 10 valve replacements. The intra-operation prophylactic use of IABP was in 5 cases, the use of IABP for weaning from cardiopulmonary bypass (CPB) during the cardiac surgery was in 22 cases, and the rest use of IABP was after the operation in the intensive care unit. Low molecular weight heparin was used for IABP anticoagulation.@*RESULTS@#Thirteen died out of the 38 IABP patients. The total IABP success rate was 66%.The IABP success rate in CABG was 82%, and 20% in the valve replacement. The patients with intra-operation prophylactic use of IABP all recovered, and 16 recovered out of the 22 patients with IABP uses for weaning from CPB, and 6 recovered out of the 11 patients with post-operation IABP application. No severe complications related to IABP occurred.@*CONCLUSION@#IABP has better effect in CABG patients than in valve replacements. Effect of the prophylactic use of IABP is better than both the IABP use for weaning from CPB or the post-operation IABP application. For IABP anticoagulation, low molecular weight heparin is the better alternative than routine heparin, and the proper ACT is controlled at 150-170 s.
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Coronary Artery Bypass
/
Retrospective Studies
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Treatment Outcome
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Heparin, Low-Molecular-Weight
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Coronary Disease
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Heart Valve Prosthesis Implantation
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Therapeutic Uses
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Heart Valve Diseases
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Intra-Aortic Balloon Pumping
Type of study:
Observational_studies
Limits:
Adult
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Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
Journal of Central South University(Medical Sciences)
Year:
2008
Type:
Article