Clinical Experience with Intra-aortic Balloon Pumping and the Pulsatile Assist Device

  • D. Bregman


The recent development of direct techniques for coronary revascularization has resulted in a multitude of critically ill patients requiring open-heart surgery. In an effort to deal with the increasing numbers of patients who both require urgent open-heart surgery and present with the many complicated patterns of coronary artery and/or valvular heart disease, a broad spectrum of cardiac assist measures ranging from simple pharmacologic maneuvers to the development of a variety of mechanical cardiac assist techniques have been developed. Those temporary mechanical cardiac assist devices (CAD) that employ the principle of arterial counterpulsation have met with the most consistent clinical success [8]. It is the purpose of this chapter to summarize our clinical experience with both intra-aortic balloon pumping (IABP) and the pulsatile assist device (PAD) in patients requiring open-heart surgery at the Columbia Presbyterian Medical Center.


Cardiopulmonary Bypass Pulsatile Flow Roller Pump Intraaortic Balloon Pulsatile Pump 
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© Springer-Verlag Berlin Heidelberg 1979

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  • D. Bregman

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