The use of prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting.
PLoS One
; 14(10): e0224273, 2019.
Article
em En
| MEDLINE
| ID: mdl-31658283
ABSTRACT
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.METHODS:
From 2005 to 2017, 471 patients underwent either isolated or combined CABG at our institution. Of those, 393 patients underwent isolated CABG and were included for the analysis. Eighty-five patients (22%) were considered high-risk and underwent prophylactic IABP, with subsequent review of surgical morbidity and mortality rates.RESULTS:
The 30-day postoperative mortality (prophylactic IABP group vs non prophylactic IABP group 0% vs 1.6%, p = 0.589) and major adverse cardiac or cerebrovascular events (5.9% vs 3.3%, p = 0.333) were not significantly different between the two groups. Prolonged mechanical ventilation (>72 hours) (12.5% vs 4.2%, p = 0.014) occurred more frequently in the prophylactic IABP group.CONCLUSIONS:
No IABP-related complications were noted, emphasizing that the use of prophylactic IABP in high-risk patients undergoing CABG is an acceptable option.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ponte de Artéria Coronária
/
Balão Intra-Aórtico
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article