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At least 703 records · Page 39Linked to original sources
PubMed1975

[Evaluation of 2 years' experience with assisted circulation by diastolic counterpulsation].

The authors report their two years' experience of circulatory assistance by diastolic counter-pulsation with an intra-aortic balloon. This technique was used in 23 patients: 9 cases of cardiogenic shock due to acute myocardial infarction, 9 septal ruptures, 1 rupture of the papillary muscle of the mitral valve, 1 acute ventricular aneurysm, 2 high risk coronary arteriographies and 1 case of early post-infarction recurrent ischemia. It confirms the gravity of cardiogenic shock as, in spite of the frequent improvement in hemodynamic parameters under counter-pulsation, there was only one survivor. The efficacy is greater in cases of septal rupture, where the author obtained 3 survivors out of 6 operated cases. The security of the method and its innocuity permit one to carry out high risk coronary arteriography and extend the indications for circulatory assistance, to certain cases of unstable angina or early recurrent anginal following acute infarction.

Adult↗
PubMed2002

Stroke after intraaortic balloon counterpulsation associated with mobile atheroma in thoracic aorta diagnosed using transesophageal echocardiography.

We describe a patient who developed embolic stroke after coronary artery bypass grafting (CABG) associated with intraaortic balloon pump (IABP) insertion. Intraoperative transesophageal echocardiography (TEE) revealed marked irregular mass and disruption of the intimal surface of the thoracic aorta with overlying shaggy echogenic material on the intimal surface of the descending thoracic aortic lumen. This case of stroke after IABP insertion suggested that the balloon inflation fragmented some mobile components on the inner surface of the aorta, and this floating debris entered the systemic circulation. TEE might be able to predict the risk of stroke in such a patient.

Aged↗
PubMed2003

[Indications, management, and complications for the use of a percutaneous intra-aortic balloon counterpulsation and cardiopulmonary support system].

Development and improvement of mechanical cardiac support systems, for example, IABP, and PCPS, is so remarkable that recently, we can rescue severe heart failure, cardiogenic shock, and acute fulminant myocarditis with these mechanical support. Moreover, indications of these mechanical support systems are widened to the support of high risk coronary interventions such case as acute myocardial infarction with poor LV function. Mechanical cardiac support systems are very important for the treatment of high risk patients. In these mechanical support systems, percutaneous systems such as IABP and PCPS are widely used. So in this article, we review mainly indications, management, and complications of IABP and PCPS with acknowledgement of our hospital.

Cardiopulmonary Bypass↗
PubMed1992

Percutaneous intra-aortic balloon counterpulsation.

Intra-aortic balloon pumping is the mainstay in the management of acute left ventricular dysfunction in the critical care setting. Percutaneous insertion affords rapid initiation of the procedure. Complications are in greatest part vascular and infectious. The advent of new-generation, totally automatic, closed-loop IABP systems offers the prospect of increasing the effectiveness of IABP support under most conditions, and especially during arrhythmias. This and other developments suggest that despite its standing as the most widely used temporary cardiac assist device, IABP has still to realize its full therapeutic potential.

Critical Care↗