Myocardial metabolic responses to diastolic augmentation by intra-aortic balloon counterpulsation during acute ischemia.
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Twenty-three patients have undergone intra-aortic balloon insertion via the ascending aorta; twenty-one in the operating room and two in the surgical intensive care unit. Direct insertion into the aorta within concentric purse-string sutures was utilized. Repeat exploration and balloon removal was accomplished safely with the added advantage of bypass graft inspection and revision where indicated. Only one patient suffered adverse sequelae from this technique, and thirteen patients are long-term survivors (one month-four years).
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