Intra-aortic Balloon Pumping: Current Status and Prospects
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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.
KeywordsCardiogenic Shock Systolic Time Interval Intraaortic Balloon Initial Clinical Experience Left Ventricular Afterload
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- 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
- 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
- 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.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
- 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
- 11.Norman, J. G.: Mechanical circulatory assistance and replacement: an evolving prospective. Car-diovasc. Dis. 4, 445–464 (1977)Google Scholar
- 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.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
- 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