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Intra-aortic Balloon Pumping: Current Status and Prospects

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Abstract

Numerous techniques of mechanical cardiac assistance have been studied during the past quarter of a century, but only two have as yet become recognized as standard clinical procedures. Artificial oxygenation and circulation of the blood by means of a pump-oxygenator, for which an operating room is required, have made possible the gamut of open-heart surgical procedures we know today. Intra-aortic balloon pumping (IABP), which can be performed in the intensive care environment and requires only minor surgery, has demonstrated the potential in such clinically important applications as cardiogenic shock and support in association with diagnostic and surgical procedures. In addition, a number of promising applications of the technique are undergoing investigation.

Keywords

Cardiogenic Shock Systolic Time Interval Intraaortic Balloon Initial Clinical Experience Left Ventricular Afterload 
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References

  1. 1.
    Barnhart, M. I., Riddle, J. M., Mammen, E. F., Baechler, C. A., Chem, S.: Hematologic hemostatic aspects of balloon pumping. Conference on Assisted Circulation. Sinai Hospital of Detroit, 9 June, 1975Google Scholar
  2. 2.
    Dunkman, W. B., Leinbach, R. C., Buckley, M. J., Mundth, E. D., Kantrowitz, Arthur, Austen, W. G., Sanders, C. A.: Clinical and hemodynamic results of intraaortic balloon pumping and surgery for cardiogenic shock. Circulation 46, 465–477 (1972)PubMedGoogle Scholar
  3. 3.
    Honet, J., Wajszczuk, W., Rubenfire, M., Kantrowitz, A., Raikes, J.: Neurological abnormalities in the leg after use of intraaortic balloon pump: report of six cases. Arch. Phys. Med. Rehabil. 56, 346–352 (1975)PubMedGoogle Scholar
  4. 4.
    Jaron, D., Tomecek, J., Freed, P. S., Welkowitz, W., Fich, S., Kantrowitz, A.: Measurement of ventricular load phase angle as an operating criterion for in-series assist devices: hemodynamic studies utilizing intraaortic balloon pumping. Trans. Am. Soc. Artif. Intern. Organs 16, 466–471 (1970)PubMedGoogle Scholar
  5. 5.
    Johnson, M. D., Holub, B. A., Winston, E. S., Brewer, M. A., Hibbs, C. W., Leachman, C. J., Norman, J. P.: Retrospective analysis of 286 patients requiring circulatory support with the intraaortic balloon pump. Cardiovasc. Dis. 4, 428–436 (1977)PubMedGoogle Scholar
  6. 6.
    Kantrowitz, A., Krakauer, J., Rubenfire, M., Jaron, D., Freed, P. S., Welkowitz, W., Cascade, P., Wajszczuk, W. J., Lipsius, M., Ciborski, M., Phillips, S. J., Hayden, M. T.: Initial clinical experience with a new permanent mechanical auxiliary ventricle: the dynamic aortic patch. Trans. Am. Soc. Artif. Intern. Organs 18, 159–167 (1972)PubMedGoogle Scholar
  7. 7.
    Kantrowitz, A., Krakauer, J. S., Zorzi, G., Rubenfire, M., Freed, P. S., Phillips, S., Lipsius, M., Titone, C., Cascade, P., Jaron, D.: Current status of the intraaortic balloon pump and initial clinical experience with an aortic patch mechanical auxiliary ventricle. Transplant. Proc. 3, 1459–1472 (1971)Google Scholar
  8. 8.
    Kantrowitz, A., Tjønneland, S., Freed, P. S., Phillips, S. J., Butner, A. N., Sherman, J. L., Jr.: Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. Jama 203, 113–118 (1968)PubMedCrossRefGoogle Scholar
  9. 9.
    Moskowitz, M. S., Freed, P. S., Nachbar, J. G., von Recum, A., Kantrowitz, A.: A self-adjusting intraaortic balloon pump controller. 29th ACEMB. November 1976, p. 385Google Scholar
  10. 10.
    Moulopoulos, S. D., Topaz, S., Kolff, W.: Diastolic balloon pumping (with carbon dioxide) in the aorta — a mechanical assistance to the circulation. Am. Heart J. 63, 669–675 (1962)PubMedCrossRefGoogle Scholar
  11. 11.
    Norman, J. G.: Mechanical circulatory assistance and replacement: an evolving prospective. Car-diovasc. Dis. 4, 445–464 (1977)Google Scholar
  12. 12.
    Norman, J. G., Bernhard, W. F.: Criteria, protocols and reporting forms for initial left ventricular assist device clinical trials. Cardiovasc. Dis. 2, 438–458 (1975)PubMedGoogle Scholar
  13. 13.
    Scheidt, S., Wilner, G., Mueller, H., Summers, D., Lesch, M., Wolff, G., Krakauer, J., Rubenfire, M., Fleming, P., Noon, G., Oldham, N., Killip, T., Kantrowitz, A.: Intra-aortic balloon counterpulsation in cardiogenic shock. Report of a co-operative clinical trial. N. Engl. J. Med. 288, 979–984 (1973)PubMedCrossRefGoogle Scholar
  14. 14.
    Schilt, W., Freed, P. S., Khalil, G., Kantrowitz, A.: Temporary non-surgical intraarterial cardiac assistance. Trans. Am. Soc. Artif. Intern. Organs 13, 322–327 (1967)Google Scholar
  15. 15.
    Topaz, S. R.: How the balloon pump was conceived — a personal reminiscence. Cardiovasc. Dis. 4, 423–427 (1977)PubMedGoogle Scholar
  16. 16.
    Wajszczuk, W., Rubenfire, M., Krakauer, J., Cascade, P., Freed, P. S., Kantrowitz, A.: Current indications for temporary mechanical assistance based on experience with 118 patients. Chest 66, 338 (1974)Google Scholar
  17. 17.
    Weber, K. T., Janicki, J. S.: Intraaortic balloon counterpulsation. Ann. Thorac. Surg. 17, 602–636 (1974)PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1979

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