Abstract
Since the first clinical report of the use of intraaortic balloon counterpulsation in 1967 [1], this technique has been used to support critically ill patients in a variety of settings. It is an accepted and widely used tool available to the invasive cardiologist. Percutaneous insertion [2,3] increased the practicality of the technique by making insertion more rapid and by removing the need for a surgical cutdown. Balloon pumping is most often used to treat cardiogenic shock, postoperative left ventricular dysfunction, unstable angina, and post--infarction angina. More recently, balloon pumping has also been used in “high risk” patients undergoing coronary angioplasty. This chapter will address the indications and use of the intraaortic balloon pump and review its role in supporting high risk patients during angioplasty.
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References
Kantrowitz A, Tjonneland S, Freed PS, et al. Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA 1968; 203:135.
Bregman D, Casarella WJ. Percutancous intraaortic balloon pumping: Initial clinical experience. Ann Thorac Surg 1980; 29:153.
Subramanian VA, Goldstein JE, Sos TA, et al. Preliminary clinical experience with percutancous intraaortic balloon pumping. Circulation 1980; 62(Suppl. 1):123.
Kantrowitz A, Kantrowitz A: Experimental augmentation of coronary flow by retardation if the arterial pressure pulse. Surgery 1953; 34:678.
Clauss RH, Birtwell WC, Alberta! G, et al. Assisted circulation. I. The artificial counter-pulsator. J Thorac Cardiovasc Surg 1961; 41:447.
Moulopoulos SD, Topaz S, Kolff WJ. Diastolic balloon pumping (with carbon dioxide) in the aorta: Mechanical assistance to the failing circulation. Am Heart J 1962; 63:699.
Kantrowitz, Krakauer JS, Rosenbaum A, et al. Phase shift balloon pumping in medically refractory cardiogenic shock. Results in 27 patients. Arch Surg 1969; 99:739.
Buckley MJ, Leinbach RL, Kastor JA, et al. Hemodynamic evaluation of intraaortic balloon pumping in man. Circulation 1970; 41(Suppl. II):II-130.
Kantrowitz A, Wasfie T, Freed PS, et al. Intraaortic balloon pumping 1967 through 1982: Analysis of complication in 733 patients. Atn J Cardiol 1986; 57:976.
Alpert J, Bhaktan EK, Gielchinsky I, et al. Vascular complications in intraaortic balloon pumping. Arch Surs 1976; 111:1190.
Sanfelippo PM, Baker NH, Ewy FIG, et al. Vascular complications associated with the use of intraaortric balloon pumping. Texas Heart Ins! J 1987; 14.178.
Gottlieb SO, Brinker JA, Borkon AM, et al Identification of patients at high risk for complication of intraaortic balloon counterpulsation: A multivariate risk factor analysis. Am J Cardiol 1984; 53:1135.
Hahnloser PB, Gallo E, Schenk WG. Hemodynamics of counterpulsation.J Thorac Cardiovasr Surs 1966; 51:366.
ECRI. Evaluation: Intraaortic balloon pumps. Health Devices 1981; 11:3.
Parmley W, Chatterjee K, Charvuzi Y, et al. Hemodynamic effects of noninvasive systolic unloading (nitroprusside) and diastolic augmentation (external counterpulsation) in patients with acute myocardial infarction. Am J Cardio! 1974; 33:819.
Weber KT, Janicki JS. Intraaortic balloon counterpulsation: A review of physiological principles, clinical results, and device safety. Ann Thorai Surs 1974; 17:602.
Balooki H. Current status of circulatory support with an intraaortic balloon pump. Cardiol Clin 1985; 3(1):123.
Urschel CW, Eber L, Forrester J, et al. Alteration of mechanical performance of the ventricle by intraaortic balloon counterpulsation. Atn J Cardiol 1970; 25:546.
Scheidt S, Wilner G, Mueller H, et al. Intraaortic balloon counterpulsation in cardiogenic shock: Report of a cooperative clinical trial. N Ensl J Med 1973; 288:979.
Amsterdam EA, Awan NA, Lee G, et al. Intraaortic balloon counterpulsation: Rationale, application and results. Cardiovasc Clin 1981; 11:79.
Gill CC, Wechsler AS, Newman GE, et al. Augmentation of redistribution of myocardial blood flow during acute ischemia by intraaortic balloon pumping. Ann Thorac Surg 1973; 16:445.
Sasayama S, Osakada G, Takahashi M, et al. Effects of intraaortic balloon counterpulsation on regional myocardial function during acute coronary occlusion in the dog. Atn J Cardin! 1979; 43:59.
Shaw J, Taylor DR, Pitt B. Effects of intraaortic balloon counterpulsation on regional coronary blood flow in experimental myocardial infarction. Am J Cardiol 1974; 34:552.
Williams DO, Korr KS, Gewirtz H, et al. The effect of intraaortic balloon counterpulsation on regional myocardial blood flow and oxygen consumption in the presence of coronary artery stenosis in patients with unstable angina. Circulation 1982; 66:593.
Fuchs RM, Brin KP, Brinker JA, et al. Augmentation of regional coronary blood flow by intraaortic balloon counterpulsation in patients with unstable angina. Circulation 1983; 68:117.
Powell WJ Jr., Daggett WM, Magro AE, et al. Effects of intraaortic balloon counterpulsation on cardiac performance, oxygen consumption, and coronary blood flow in dogs. Circ Res 1970; 26:753.
Johnson SA, Scanlon PJ, Loeb HS, et al. Treatment of cardiogenic shock in myocardial infarction by intraaortic balloon counterpulsation surgery. Am J Med 1977; 62:687.
Ehrick DA, Biddle TL, Kronenberg MW, et al. The hemodynamic response to intraaortic balloon counterpulsation in patients with cardiogenic shock complication acute myocardial infarction. Am Heart J 1977; 93:274.
Goldberger M, Tabak SW, Shah PK. Clinical experience with intraaortic balloon counter-pulsation in 112 consecutive patients. Am Heart J 1986; 111:497.
Alvan KE, Stertzer SH, Wallsh E, et al. Current status of intraaortic balloon counterpulsation in critical care cardiology. Grit Care Med 1984; 12:489.
O’Rourke MF, Norris RM, Campbell TJ, et al. Randomized controlled trial of intraaortic balloon counterpulsation in early myocardial infarction with acute heart failure. Am] Cardiol 1981; 47:815.
Sanfelippo PM, Baker NH, Ewy HG, et al. Experience with intraaortic balloon counterpulsation. Ann Thorac Surg 1986; 41:36.
Montoya A, McKeever L, Scanlon P, et al. Early repair of ventricular septal rupture after infarction. Am J Cardiol 1980; 45:345.
Buckley MJ, Craver JM, Gold HK, et al. Intraaortic balloon pump assist for cardiogenic shock after cardiopulmonary bypass (abstr). Circulation 1972; 46(11):76.
Alcan KE, Stertzer SH, Wallsh E, et al. The role of intraaortic balloon counterpulsation in patients undergoing percutaneous transluminal coronary angioplasty. Am Heart J 1983; 105:527.
Bolooki H. Emergency cardiac procedures in patients in cardiogenic shock due to complications of coronary artery disease. Circulation 1989; 79(Suppl. 1):1137.
Murphy DA, Craver JM, Jones EL, et al. Surgical management of acute myocardial ischemia following percutaneous transluminal coronary angioplasty. Role of the intraaortic balloon pump. J Thorac Cardiovasc Surg 1984; 87:332.
Lee, Bates ER, Pitt B, et al. Percutaneous transluminal coronary angioplasty improves survival in acute myocardial infarction complicated by cardiogenic shock. Circulation 1988; 78:1345.
Talley JD, Jones EL, Weintraub WS, et al. Coronary artery bypass surgery after failed elective percutaneous transluminal coronary angioplasty. Circulation 1989; 79(Suppl. 1):1126.
O’Keefe JH, Hartzler GO, Rutherford BD. Left main coronary angioplasty: Early and late results of 127 acute and elective procedures. Am J Cardiol 1989; 66:144.
Voudris V, Marco J, Morris MC, et al. Percutaneous transluminal coronary angioplasty with preventive intra-aortic balloon counterpulsation. Cath Cardiovasc Ding 1990; 19:160.
Kahn JK, Rutherford BD, McConahay DR, et al. Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation. J Am Coll Cardiol 1990; 15:1151
Anwar A, Mooney M, Stertzer S, et al. Intra-aortic balloon counterpulsation support for elective coronary angioplasty in the setting of poor left ventricular function: A two center experience. J Inv Cardiol 1990; 2:175.
Stertzer SH, Myler RK. Left ventricular support during high risk coronary angioplasty: An argument for the use of cardiopulmonary support. J Inu Cardiol 1990; 2:155.
Kaltenbach M, Beyer J, Walter S, et al. Prolonged application of pressure in transluminal coronary angioplasty. Cathet Cardiovasc Diag 1984; 10:213.
Goldberg MJ, Rubenfire M, Kantrowitz A, et al. Intraaortic balloon pump insertion: A randomized study comparing percutaneous and surgical techniques. J Am Coil Cardio! 1987; 9:515.
Alderman JD, Gabliani GI, McCabe CH, et al. Incidence and management of leg ischemia with percutaneous wire guided intraaortic balloon catheters. J Am Coq Cardiol 1987; 9:524
McCabe JC, Abel RM, Subramanian VA, et al. Complication of intraaortic balloon insertion and counterpulsation. Circulation 1978; 57:769.
Isner JM, Cohen SR, Virmani R, et al. Complications of the intraaortic balloon counterpulsation device: Clinical and morphologic observation in 45 necropsy patients. Arn J Cardin! 1980; 45:260.
McEnany MT, Kay HR, Buckley MJ, et al. Clinical experience with intraaortic balloon pump support in 728 patients. Circulation 1978; 58(SuppI. l):124.
Martin RS, Moncure AC, Buckley MJ, et al. Complications of percutaneous intraaortic balloon insertion. J Thorac Cardiovasc Sure 1983; 85:186.
Schneider MD, Kaye MP, Blatt SJ, et al. Safety of intraaortic balloon pumping. I. Biochemical and hematologic values influenced by use of balloon. Thrornb Res 1974; 4:387.
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Wish, M.H., Shawl, F.A. (1991). Intraaortic Balloon Pump Supported High Risk Coronary Angioplasty. In: Shawl, F.A. (eds) Supported Complex and High Risk Coronary Angioplasty. Interventional Cardiology, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3890-5_11
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DOI: https://doi.org/10.1007/978-1-4615-3890-5_11
Publisher Name: Springer, Boston, MA
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