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Intraaortic Balloon Pumping in Congestive Heart Failure

  • Chapter
Congestive Heart Failure

Abstract

Today, almost a quarter century since its first trial in patients, the intraaortic balloon pump is the most commonly used cardiac assist device.1 Indeed, intraaortic balloon pumping (IABP) has become standard in coronary care and cardiac surgery facilities, where it has established its role in the management of acute left ventricular (LV) dysfunction. In this chapter, we outline the theoretical concept of diastolic augmentation and summarize early experimental studies that supported the concept and enabled advances toward clinical implementations of cardiac assistance based on this principle. We then discuss the hemodynamic effects of IABP. A critical review of knowledge as to the determinants of the efficacy of IABP follows, setting the stage for consideration of the capabilities and limitations of currently available IABP apparatus.

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References

  1. ACC/AHA Task Force. Guidelines and indications for coronary artery bypass surgery. A report of the American College of Cardiology/American Heart Association Task Force on assessment of diagnostic and therapeutic cardiovascular procedures (Subcommittee on Coronary Artery Bypass Graft Surgery). Kirklin JW, Subcommittee Chairman, Fisch C, Task Force Chairman, Beller GA, DeSanctis RW, Dodge HT, Kennedy JW, Reeves TJ, Weinberg SL. J Am Coll Cardiol. 1991;17:543–589.

    Article  Google Scholar 

  2. Kantrowitz A, Kantrowitz A. Experimental augmentation of coronary flow by retardation of the arterial pressure pulse. Surgery. 1953;34:678–687.

    PubMed  CAS  Google Scholar 

  3. Kantrowitz A, McKinnon WMP. The experimental use of the diaphragm as an auxiliary myocardium. Surg Forum. 1959;IX:265–267.

    Google Scholar 

  4. Sarnoff SJ, Braunwald E, Welch GH, Jr, Case RB, Stainsby WN, Macruz R. Hemodynamic determinants of oxygen consumption of the heart with special reference to the tension-time-index. Am J Physiol. 1958;192:148–156.

    PubMed  CAS  Google Scholar 

  5. Sarnoff SJ, in discussion: Kantrowitz A. Functioning autogenous muscle used experimentally as an auxiliary ventricle. Trans Am Soc Artif Intern Organs. 1960; VI:305–310.

    Google Scholar 

  6. Kantrowitz A, Akutsu T, Chaptal PA, Krakauer J, Kantrowitz AR, Jones RT. A clinical experience with an implanted mechanical auxiliary ventricle. JAMA. 1966;197:525–529.

    Article  PubMed  CAS  Google Scholar 

  7. Harken DE. Counterpulsation: foundation and future, with a tribute to William Clifford Birtwell (1916–1978). In: Unger F, ed. Assisted Circulation. New York: Springer-Verlag, 1979:20–23.

    Google Scholar 

  8. Clauss RH, Birtwell WC, Albertal G, et al. Assisted circulation. I. The arterial counterpulsator. J Thorac Cardiovasc Surg. 1961;41:447–458.

    PubMed  CAS  Google Scholar 

  9. Watkins DH, Duchesne ER. Postsystolic myocardial augmentation. I. Developmental considerations and technique. AMA Arch Surg. 1961;82:839–855.

    PubMed  CAS  Google Scholar 

  10. Willman VL, Cooper T, Riberi A, Hanlon CR. Cardiac assistance by diastolic augmentation: hemodynamic evaluation in dogs with complete heart block. Trans Am Soc Artif Intern Organs. 1961;VII:198–201.

    Google Scholar 

  11. Soroff HS, Birtwell WC, Giron F, et al. Treatment of power failure by means of mechanical assistance. Circulation. 1969;39–40(Suppl IV):IV-292–314.

    Google Scholar 

  12. Clauss RH, Missier P, Reed GE, Tice D. Assisted circulation by counter-pulsation with an intra-aortic balloon. Methods and effects. In: Digest, 15th Annual Conference on Engineering in Medicine and Biology. vol 4. Chicago: Northwestern University; 1962:44.

    Google Scholar 

  13. Moulopoulos SD, Topaz SR, Kolff WJ. Extracorporeal assistance to the circulation and intraaortic balloon pumping. Trans Am Soc Artif Intern Organs. 1962; VIII:85–89.

    Google Scholar 

  14. Schilt W, Freed PS, Khalil G, Kantrowitz A. Temporary non-surgical intraarterial cardiac assistance. Trans Am Soc Artif Intern Organs. 1967;XIII:322–327.

    Google Scholar 

  15. Kantrowitz A, Tjønneland S, Freed PS, Phillips SJ, Butner AN. Sherman JL Jr. Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA. 1968;203:135–140.

    Article  Google Scholar 

  16. Scheidt S, Wilner G, Mueller H, et al. Intraaortic balloon pumping in cardiogenic shock. Report of a cooperative clinical trial. N Engl J Med. 1973;288:979–984.

    Article  PubMed  CAS  Google Scholar 

  17. Bregman D, Kripke DC, Goetz RH. The effect of synchronous unidirectional intraaortic balloon pumping on hemodynamics and coronary blood flow in cardiogenic shock. Trans Am Soc Artif Intern Organs. 1970; XVI:439–449.

    Google Scholar 

  18. Buckley MJ, Leinbach RC, Kastor JA, et al. Hemodynamic evaluation of intraaortic balloon pumping in man. Circulation. 1970;41–42(Suppl II):II-130–136.

    Google Scholar 

  19. Wolvek S. The evolution of the intra-aortic balloon: the Datascope contribution. J Biomat Appl. 1989;3:527–543.

    Article  CAS  Google Scholar 

  20. McElkoy PA, Shroff SG, Weber KT. Pathophysiology of the failing heart. Cardiol Clin. 1989;7:25–37.

    Google Scholar 

  21. Jaron D, Tomecek J, Freed PS, Welkowitz W, Fich S, Kantrowitz A. Measurement of ventricular load phase angle as an operating criterion for in series assist devices: hemodynamic studies utilizing intra-aortic balloon pumping. Trans Am Soc Artif Intern Organs. 1970;XVI:466–471.

    Google Scholar 

  22. Kantrowitz A, Krakauer JS, Zorzi G, et al. Current status of intraaortic balloon pump and initial clinical experience with aortic patch mechanical auxiliary ventricle. Transplant Proc. 1971;3:1459–1472

    Google Scholar 

  23. Tyberg JV, Keon WJ, Sonnenblick EH, Urschel CW. Effectiveness of intra-aortic balloon counterpulsation in the experimental low output state. Am Heart J. 1970;80:89–95.

    Article  PubMed  CAS  Google Scholar 

  24. Bregman D, Goetz RH. Clinical experience wtih a new cardiac assist device. The dualchambered intra-aortic balloon assist. J Thorac Cardiovasc Surg. 1971;62:577–591.

    PubMed  CAS  Google Scholar 

  25. Feola M, Adachi M, Akers WW, Ross JN Jr, Wieting DW, Kennedy JH. Intraaortic balloon pumping in the experimental animal. Effects and problems. Am J Cardiol. 1971;27:129–136.

    Article  PubMed  CAS  Google Scholar 

  26. Brown BG, Goldfarb D, Topaz SR, Gott VL. Diastolic augmentation by intra-aortic balloon. Circulatory hemodynamics and treatment of severe, acute left ventricular failure in dogs. J Thorac Cardiovasc Surg. 1967;53:789–804.

    PubMed  CAS  Google Scholar 

  27. Mueller H, Ayres SM, Giannelli S, Conklin EF, Mazzara JT, Grace WJ. Effect of isoproterenol, l-norepinephrine, and intraaortic counterpulsation on hemodynamics and myocardial metabolism in shock following acute myocardial infarction. Circulation. 1972; XLV:335–351.

    Google Scholar 

  28. Urschel CW, Eber L, Forrester J, Matloff J, Carpenter R, Sonnenblick E. Alteration of mechanical performance of the ventricle by intraaortic balloon counterpulsation. Am J Cardiol. 1970;25:546–551.

    Article  PubMed  CAS  Google Scholar 

  29. Weber KT, Janicki JS, Walker AA. Intra-aortic balloon pumping: an analysis of several variables affecting balloon performance. Trans Am Soc Artif Intern Organs. 1972:XVIII:486–492.

    Google Scholar 

  30. Mueller H, Ayres SM, Conklin EF, et al. The effects of intraaortic counterpulsation on cardiac performance and metabolism in shock associated with acute myocardial infarction. J Clin Invest. 1971;50:1885–1900.

    Article  PubMed  CAS  Google Scholar 

  31. Nosé Y, Schamaun M, Kantrowitz A. Experimental use of an electronically controlled prosthesis as an auxiliary left ventricle. Trans Am Soc Artif Intern Organs. 1963:IX:269–274.

    Google Scholar 

  32. ECRI (Emergency Care Research Institute). Health Devices. Intraaortic balloon pumps. Plymouth Meeting, PA, 1987;16:135–176.

    Google Scholar 

  33. Weikel AM, Jones RT, Dinsmore R, Petschek HE. Size limits and pumping effectiveness of intraaortic balloons. Ann Thorac Surg. 1971;12:45–53.

    Article  PubMed  CAS  Google Scholar 

  34. Kantrowitz A, Wasfie T, Freed PS, Rubenfire M, Wajszczuk W, Schork MA. Intraaortic balloon pumping. 1967 through 1982: analysis of complications in 733 patients. Am J Cardiol. 1986;57:976–983.

    Article  PubMed  CAS  Google Scholar 

  35. McEnany MT, Kay HR, Buckley MJ, et al. Clinical experience with intraaortic balloon pump support in 728 patients. Circulation. 1978;58(Suppl I):I-124–132.

    Google Scholar 

  36. Mayerhofer KE, Billhardt RA, Codini MA. Delayed abrasion perforation of two intraaortic balloons. Am Heart J. 1984;108:1361–1363.

    Article  PubMed  CAS  Google Scholar 

  37. Rajani R, Keon WJ, Bédard P. Rupture of an intraaortic balloon: a case report. J Thorac Cardiovasc Surg. 1980;79:301–302.

    PubMed  CAS  Google Scholar 

  38. Bolooki H, ed. Clinical Application of Intra-aortic Balloon Pumping. New York: Futura Publishing Company; 1984.

    Google Scholar 

  39. Satler LF, Rackley CE. Assessment of adequate circulatory assist during intra-aortic balloon counterpulsation. In: Rackley CE, Brest AN, eds. Advances in Critical Care Cardiology. Philadelphia: FA Davis Co; 1986:141–149.

    Google Scholar 

  40. Weber KT, Janicki JS. Intraaortic balloon counterpulsation. A review of physiological principles, clinical results, and device safety. Ann Thorac Surg. 1974;17:602–636.

    Article  PubMed  CAS  Google Scholar 

  41. Schottler M, Schaefer J, Schwarzkopf HJ, Wysocki R. Experimentally induced change of arterial mean and aortic opening pressure by controlled variation of diastolic augmentation. Basic Res Cardiol. 1974;69:597–607.

    Article  Google Scholar 

  42. Subramanian VA, Goldstein JE, Sos TA, McCabe JC, Hoover EA, Gay WA Jr. Preliminary clinical experience with percutaneous intraaortic balloon pumping. Circulation. 1980;62:1423–129.

    Google Scholar 

  43. Bemis CE, Mundth ED, Mintz GS, et al. Comparison of techniques for intraaortic balloon insertion. Am J Cardiol. 1981;47:417. Abstract.

    Google Scholar 

  44. Berger RL, Saini VK, Long W, Hechtman H, Hood W Jr. The use of diastolic augmentation with the intraaortic balloon in human septic shock with associated coronary artery disease. Surgery. 1973;74:4:601–606.

    PubMed  Google Scholar 

  45. Mercer D, Doris P, Salerno TA. Intra-aortic balloon counterpulsation in septic shock. Can J Surg. 1981; 24:6:643–645.

    PubMed  Google Scholar 

  46. Bregman D, Nichols AB, Weiss MB, Powers ER, Martin EC, Casarella WJ. Percutaneous intra-aortic balloon insertion. Am J Cardiol. 1980;46:261–64.

    Article  PubMed  CAS  Google Scholar 

  47. Grotz RL, Yeston NS. Intra-aortic balloon counterpulsation in high-risk cardiac patients undergoing noncardiac surgery. Surgery. 1989;106:1–5.

    PubMed  CAS  Google Scholar 

  48. Georgen RF, Dietrick JA, Pifarre R, Scanion PJ, Prinz RA. Placement of intra-aortic balloon pump allows definitive biliary surgery in patients with severe cardiac disease. Surgery. 1989;106:808–814.

    PubMed  CAS  Google Scholar 

  49. Spence PA, Weisel RD, Easdown J, Jabr AK, Yap V, Salerno TA. The hemodynamic effects and mechanism of action of pulmonary artery balloon counterpulsation in the treatment of right ventricular failure during left heart bypass. Ann Thorac Surg. 1985;39:329–335.

    Article  PubMed  CAS  Google Scholar 

  50. Nakatani S, Beppu S, Tanaka N, Andoh M, Miyatake K, Nimura Y. Application of abdominal and transesophageal echocardiography as a guide for insertion of intraaortic balloon pump in aortic dissection. Am J Cardiol. 1989;64:1082–1083.

    Article  PubMed  CAS  Google Scholar 

  51. D’Agostino RS, Baldwin JC. Intra-aortic balloon counterpulsation: present status. Comp Ther. 1986;12 47–54.

    Google Scholar 

  52. Goldberg MJ, Rubenfire M, Kantrowitz A, et al. Intraaortic balloon pump insertion: a randomized study comparing percutaneous and surgical techniques. J Am Coll Cardiol. 1987;9:515–523.

    Article  PubMed  CAS  Google Scholar 

  53. Kantrowitz A, Phillips SJ, Butner AN, Tjonneland S, Haller JD. Technique of femoral artery cannulation for phase-shift balloon pumping. J Thorac Cardiovasc Surg. 1968;56:219–220.

    PubMed  CAS  Google Scholar 

  54. Di Lello F, Mullen DC, Flemma RJ, Anderson AJJ, Kleinman LH, Werner PH. Results of intraaortic balloon pumping after cardiac surgery: experience with the Percor balloon catheter. Ann Thorac Surg. 1988;46 442–446

    Article  PubMed  Google Scholar 

  55. Zada F, McCabe JC, Subramanian VA. Simplified technique for intra-aortic balloon insertion. Ann Thorac Surg. 1980;29 573–574.

    Article  PubMed  CAS  Google Scholar 

  56. Snow N, Horrigan TP. Ascending aortic IABP complications. [Letter]. Ann Thorac Surg. 1986;42:229.

    Article  PubMed  CAS  Google Scholar 

  57. Krause AH Jr, Bigelow JC, Page US. Transthoracic intraaortic balloon cannulation to avoid repeat sternotomy for removal. Ann Thorac Surg. 1976;21:562–565.

    Article  PubMed  Google Scholar 

  58. Mayer JH. Subclavian artery approach for insertion of intra-aortic balloon. J Thorac Cardiovasc Surg. 1978; 76:61–63.

    PubMed  CAS  Google Scholar 

  59. Rubenstein RB, Karhade NV. Supraclavicular subclavian technique of intra-aortic balloon insertion. J Vase Surg. 1984;1:577–578.

    CAS  Google Scholar 

  60. Cascade PN, Rubenfire M, Kantrowitz A. Radiographic aspects of the phase-shift balloon pump. Radiology. 1972;103:299–302.

    PubMed  CAS  Google Scholar 

  61. Shahian DM, Jewell ER. Intraaortic balloon pump placement through Dacron aortofemoral grafts. J Vase Surg. 1988;7:795–797.

    CAS  Google Scholar 

  62. McBride LR, Miller LW, Naunheim KS, Pennington DG. Axillary artery insertion of an intraaortic balloon pump. Ann Thorac Surg. 1989;48:874–875.

    Article  PubMed  CAS  Google Scholar 

  63. Gaul G, Blazek G, Deutsch M, et al. Chronic use of an intra-aortic balloon pump in congestive cardiomyopathy. In: Unger F, ed. Assisted Circulation 2. New York: Springer-Verlag; 1984:28–37.

    Google Scholar 

  64. Krakauer JS, Rosenbaum A, Freed PS, Jaron D, Kantrowitz A. Clinical management ancillary to phase-shift balloon pumping in cardiogenic shock. Am J Cardiol. 1971;27:123–128.

    Article  PubMed  CAS  Google Scholar 

  65. Hagemeijer F, Laird JD, Haalebos MMP, Hugenholtz PG. Effectiveness of intraaortic balloon pumping without cardiac surgery for patients with severe heart failure secondary to a recent myocardial infarction. Am J Cardiol. 1977;40:951–956.

    Article  PubMed  CAS  Google Scholar 

  66. Perret C. Management of severe heart failure. Acta Anaesth Belg. 1988(Suppl 2);39:103–108.

    PubMed  CAS  Google Scholar 

  67. Sturm JT, Fuhrman TM, Igo SR, et al. Quantitative indices of intra-aortic balloon pump (IABP) dependence during post-infarction cardiogenic shock. Artificial Organs. 1980;4:8–12.

    Article  PubMed  CAS  Google Scholar 

  68. Drexler M, Mayer E, Oelert H, Erbel R, Meyer J. Transesophageal echocardiographic monitoring during positive inotropic drug intervention and balloon pumping. In: Ergel R, Khandheria BK, Brennecke R, et al., eds. Transesophageal Echocardiography. A New Window to the Heart. Berlin: Springer-Verlag; 1989:218–220.

    Google Scholar 

  69. Kantrowitz A. Intra-aortic balloon pumping: clinical aspects and prospects. In: Unger F, ed. Assisted Circulation III. Berlin: Springer-Verlag; 1989:52–73.

    Google Scholar 

  70. Freed PS, Wasfie T, Zado B, Kantrowitz A. Intraaortic balloon pumping for prolonged circulatory support. Am J Cardiol. 1988;61:554–557.

    Article  PubMed  CAS  Google Scholar 

  71. Kyo S, Matsumura M, Takamoto S, Neya K, Omoto R. Transesophageal Doppler echo monitoring of cardiac function during assist circulation. In: Ergel R, Khandheria BK, Brennecke R, et al., eds. Transesophageal Echocardiography. A New Window to the Heart. Berlin: Springer-Verlag; 1989:221–228.

    Google Scholar 

  72. Rodigas PC, Finnegan JO. Technique for removal of percutaneously placed intraaortic balloons. Ann Thorac Surg. 1985;40:80–81.

    Article  PubMed  CAS  Google Scholar 

  73. Opie JC. Hemorrhage control after removal of surgically implanted intraaortic balloon pump. Ann Thorac Surg. 1990;49:326–327.

    Article  PubMed  CAS  Google Scholar 

  74. Dunkman WB, Leinback RC, Buckley MJ, et al. Clinical and hemodynamic results of intraaortic balloon pumping and surgery for cardiogenic shock. Circulation. 1972;46:465–477.

    PubMed  CAS  Google Scholar 

  75. Kantrowitz A. The physiologic bases of in-series cardiac assistance and the clinical application of intra-aortic devices. In: Davila JC, ed. 2nd Henry Ford Hospital International Symposium on Cardiac Surgery. New York: Appleton-Century-Crofts;1977;640–643.

    Google Scholar 

  76. O’Rourke MF, Chang VP, Windsor HM, et al. Acute severe cardiac failure complicating myocardial infarction. Experience with 100 patients referred for consideration of mechanical left ventricular assistance. Br Heart J. 1975;36:169–181.

    Article  Google Scholar 

  77. Sanfelippo PM, Baker NH, Ewy GH, et al. Experience with intraaortic balloon counterpulsation. Ann Thorac Surg. 1986;41:36–41.

    Article  PubMed  CAS  Google Scholar 

  78. Goldberger M, Tabak SW, Prediman SK. Clinical experience with intra-aortic balloon counterpulsation in 112 consecutive patients. Am Heart J. 1986;111:497–502.

    Article  PubMed  CAS  Google Scholar 

  79. O’Rourke MF, Sammel N, Chang VP. Arterial counterpulsation in severe refractory heart failure complicating acute myocardial infarction. Br Heart J. 1979;41:308–316.

    Article  PubMed  Google Scholar 

  80. Lorente P, Gourgon R, Beaufils P, et al. Multivariate statistical evaluation of intraaortic counterpulsation in pump failure complicating acute myocardial infarction. Am J Cardiol. 1980;46:124–134.

    Article  PubMed  CAS  Google Scholar 

  81. Mundth ED, Buckley MJ, Leinbach RC, et al. Myocardial revascularisation for the treatment of cardiogenic shock complicating acute myocardial infarction. Surgery. 1971;70:78–85.

    PubMed  CAS  Google Scholar 

  82. Mundth ED, Buckley MJ, Daggett WM, Sanders CA, Austen WG. Surgery for complications of acute myocardial infarction. Circulation. 1972;45:1279–1291.

    PubMed  CAS  Google Scholar 

  83. Bolooki H. Emergency cardiac procedures in patients in cardiogenic shock due to complications of coronary artery disease. Circulation. 1989;79(Suppl I):I-137–148.

    Google Scholar 

  84. Fuhrman TM, Sturm JT, Holub DA, et al. Right and left ventricular hemodynamic indices as predictors of the need for and outcome of postcardiotomy mechanical (intra-aortic balloon pump) support. Trans Am Soc Artif Intern Organs. 1979;XXV:171–175.

    Google Scholar 

  85. Mundth ED. Preoperative intraaortic balloon pump assistance. Ann Thorac Surg. 1976;22:603–604.

    Article  PubMed  CAS  Google Scholar 

  86. Craver JM, Kaplan JA, Jones EL, Kopchak J, Hatcher CR. What role should the intra-aortic balloon have in cardiac surgery? Ann Surg. 1979;189:769–776.

    Article  PubMed  CAS  Google Scholar 

  87. Bolooki H, Williams W, Thurer RJ, et al. Clinical and hemodynamic criteria for use of the intra-aortic balloon pump in patients requiring cardiac surgery. J Thorac Cardiovasc Surg. 1976;72:756–768.

    PubMed  CAS  Google Scholar 

  88. Golding LAR, Loop FD, Peter M, Cosgrove DM, Taylor PC, Phillips DF. Late survival following use of intraaortic balloon pump in revascularization operations. Ann Thorac Surg. 1980;30:48–51.

    Article  PubMed  CAS  Google Scholar 

  89. Lefemine AA, Kosowsky B, Madoff I, Black H, Lewis M. Results and complications of intraaortic balloon pumping in surgical and medical patients. Am J Cardiol. 1977;40:416–420.

    Article  PubMed  CAS  Google Scholar 

  90. Pennington DG, Swartz M, Codd JE, Merjavy JP, Kaiser GC. Intraaortic balloon pumping in cardiac surgical patients: a nine-year experience. Ann Thorac Surg. 1983;36:125–131.

    Article  PubMed  CAS  Google Scholar 

  91. Buckley MJ, Craver JM, Gold HK, Mundth ED, Daggett WM, Austen WG. Intra-aortic balloon pump assist for cardiogenic shock after cardiopulmonary bypass. Circulation. 1973;47–48(Suppl III):III–90–94.

    Google Scholar 

  92. Parker FB Jr, Neville JF, Hanson EL, Webb WR. Intraaortic balloon counterpulsation and cardiac surgery. Ann Thorac Surg. 1974;17:144–151.

    Article  PubMed  Google Scholar 

  93. Bregman D, Parodi EN, Edie RN, Bowman FO, Reemtsma K, Malm JR. Intraoperative unidirectional intraaortic balloon pumping in the management of left ventricular power failure. J Thorac Cardiovasc Surg. 1975; 70:1010–1023.

    PubMed  CAS  Google Scholar 

  94. McGee NG, Zillgitt SL, Trono R, et al. Retrospective analyses of the need for mechanical circulatory support (intraaortic balloon pump/abdominal left ventricular assist device or partial artificial heart) after cardiopulmonary bypass. A 44 month study of 14,168 patients. Am J Cardiol. 1980;46:135–142.

    Article  PubMed  CAS  Google Scholar 

  95. Maloney JV Jr, Nelson RL. Myocardial preservation during cardiopulmonary bypass An overview. J Thorac Cardiovasc Surg. 1975;70:1040–1050.

    PubMed  Google Scholar 

  96. Braunwald E. The stunned myocardium: newer insights into mechanism and clinical implications. [Letter.] J Thorac Cardiovasc Surg. 1990;100:310–311.

    PubMed  CAS  Google Scholar 

  97. DeBoer LWV, Ingwall JS, Kloner RA, Braunwald E. Prolonged derangements of canine myocardial purine metabolism after a brief coronary artery occlusion not associated with anatomic evidence of necrosis. Proc Natl Acad Sci USA. 1980;77:5471–5475.

    Article  PubMed  CAS  Google Scholar 

  98. Reimer KA, Hill ML, Jennings RB. Prolonged depletion of ATP and of the adenine nucleotide pool due to delayed resynthesis of adenine nucleotides following reversible myocardial ischemic injury in dogs. J Mol Cell Cardio. 1981;13:229–239.

    Article  CAS  Google Scholar 

  99. Bavaria JE, Furukawa F, Kreiner G, et al. Myocardial oxygen utilization after reversible global ischemia. J Thorac Cardiovasc Surg. 1990;100:210–220.

    PubMed  CAS  Google Scholar 

  100. Soroff HS, Levine HJ, Sachs BF, Birtwell WC, Deterline RA Jr. Assisted circulation. II. Effect of counterpulsation on left ventricular oxygen consumption and hemodynamics. Circulation. 1963;27:722–731.

    CAS  Google Scholar 

  101. Gill CC, Wechsler AS, Newman GE, Oldham HN Jr. Augmentation and redistribution of myocardial blood flow during acute ischemia by intraaortic balloon pumping. Ann Thorac Surg. 1973;16:445–453.

    Article  PubMed  CAS  Google Scholar 

  102. Sturm JT, McGee MG, Fuhrman TM, et al. Treatment of postoperative low output syndrome with intraaortic balloon pumping: experience with 419 patients. Am J Cardiol. 1980;45:1033–1036.

    Article  PubMed  CAS  Google Scholar 

  103. Norman JC, Cooley DA, Igo SR, et al. Prognostic indices for survival during postcardiotomy intra-aortic balloon pumping. Methods of scoring and classification, with implications for left ventricular assist device utilization. J Thorac Cardiovasc Surg. 1977;74:709–720.

    PubMed  CAS  Google Scholar 

  104. Najafi H, Henson D, Dye WS, et al. Left ventricular hemorrhagic necrosis. Ann Thorac Surg. 1969;7:550–561.

    Article  PubMed  CAS  Google Scholar 

  105. Hedenmark J, Ahn H, Henze A, Nystrom SO, Svedjeholm R, Tyden H. Intra-aortic balloon counterpulsation with special reference to determinants of survival. Scand J Thor Cardiovasc Surg. 1989;23:57–62.

    Article  CAS  Google Scholar 

  106. Corral CH, Vaughn CC. Intraaortic balloon counterpulsation: an eleven-year review and analysis of determinants of survival. Texas Heart Inst J. 1986;13:39–44.

    CAS  Google Scholar 

  107. Lund O, Johansen G, Allermand H, et al. Intraaortic balloon pumping in the treatment of low cardiac output following open heart surgery—immediate results and long-term prognosis. Thorac Cardiovasc Surg. 1988; 36:332–337.

    Article  PubMed  CAS  Google Scholar 

  108. Kuchar DL, Campbell TJ, O’Rourke MF. Long-term swvival after counterpulsation for medically refractory heart failure complicating myocardial infarction and cardiac swgery. Eur Heart J. 1987;8:490–502.

    PubMed  CAS  Google Scholar 

  109. Davies RA, Laks H, Wackers FJ, et al. Radionuclide assessment of left ventricular function in patients requiring intraoperative balloon pump assistance. Ann Thorac Surg. 1982;33:123–131.

    Article  PubMed  CAS  Google Scholar 

  110. Kaye MP. The registry of the International Society for Heart Transplantation: Fourth official report—1987. J Heart Transplant. 1987;6:63–67.

    PubMed  CAS  Google Scholar 

  111. Oaks TE, Wisman CB, Pae WE, Pennock JL, Bwg J, Pierce WS. Results of mechanical circulatory assistance before heart transplantation. J Heart Transplant. 1989; 8:113–115.

    PubMed  CAS  Google Scholar 

  112. Hardesty RL, Griffith BP, Trento A, Thompson ME, Ferson PF, Bahnson HT. Mortally ill patients and excellent survival following cardiac transplantation. Ann Thorac Surg. 1986;41:126–129.

    Article  PubMed  CAS  Google Scholar 

  113. O’Connell JB, Renlunnd DG, Robinson JA, et al. Effect of preoperative hemodynamic support on survival after cardiac transplantation. Circulation. 1988;78(Suppl III): III–78–82.

    Google Scholar 

  114. Reemtsma K, Drusin R, Edie R, Bregman D, Dobelle W, Hardy M. Cardiac transplantation for patients requiring mechanical circulatory support. N Engl J Med. 1978;298:670–671.

    Article  PubMed  CAS  Google Scholar 

  115. Ashar B, Turcotte LR. Analyses of longest IAB implant in human patient (327 days). Trans Am Soc Artif Intern Organs. 1981;XXVII:372–379.

    Google Scholar 

  116. Kantrowitz A. The ninth Hastings lecture. Spectrum. Artif Organs. 1986;10:497–510.

    Article  PubMed  CAS  Google Scholar 

  117. Goldman BS, Hill TJ, Rosenthal GA, Scully HE, Weisel RD, Baird RJ. Complications associated with use of the intra-aortic balloon pwmp. Can J Surg. 1982;25:153–156.

    PubMed  CAS  Google Scholar 

  118. Beckman CB, Geha AS, Hammon GL, Baue AE. Results and complications of intraaortic balloon counterpulsation. Ann Thorac Surg. 1977;24:550–559.

    Article  PubMed  CAS  Google Scholar 

  119. Gottlieb SO, Brinker JA, Borkon AM, et al. Identification of patients at high risk for complications of intraaortic balloon counterpulsation: a multivariate risk factor analysis. Am J Cardiol. 1984;53:1135–1139.

    Article  PubMed  CAS  Google Scholar 

  120. Skillman JJ, Kim D, Bairn DS. Vascular complications of percutaneous femoral cardiac interventions. Arch Surg. 1988;123:1207–1212.

    PubMed  CAS  Google Scholar 

  121. Iverson LIG, Herfindahl G, Ecker RR, et al. Vascular complications of intraaortic balloon cownterpulsation. Am J Surg. 1987;154:99–103.

    Article  PubMed  CAS  Google Scholar 

  122. Curtis JJ, Boland M, Bliss D, et al. Intra-aortic balloon cardiac assist: complication rates for the swgical and percutaneous insertion techniques. Am Surg. 1988;54:142–147.

    PubMed  CAS  Google Scholar 

  123. Meldrum-Hanna WG, Deal CW, Ross DE. Complications of ascending aortic intraaortic balloon pump cannulation. Ann Thorac Surg. 1985;40:241–244.

    Article  PubMed  CAS  Google Scholar 

  124. Pelletier LC, Pomar JL, Bosch X, Galinanes M, Hebert Y. Complications of circulatory assistance with intraaortic balloon pumping: a comparison of surgical and percutaneous techniques. J Heart Transpl. 1986;5:138–142.

    CAS  Google Scholar 

  125. Shahian DM, Neptune WB, Ellis FH Jr, Maggs PR. Intraaortic balloon pump morbidity: a comparative analysis of risk factors between percutaneous and surgical techniques. Ann Thorac Surg. 1983;36:644–653.

    Article  PubMed  CAS  Google Scholar 

  126. Alcan KE, Stertzer SH, Wallsh E, Franzone AJ, Bruno MS, DePasquale NN. Comparison of wire-guided percutaneous insertion and conventional surgically insertion of intra-aortic balloon pumps in 151 patients. Am J Med. 1983;75:24–28.

    Article  PubMed  CAS  Google Scholar 

  127. Isner JM, Cohen SR, Virmani R, Lawrinson W, Roberts WC. Complications of intraaortic balloon counterpulsation device: clinical and morphologic observations in 45 necropsy patients. Am J Cardiol. 1980;45:260–268.

    Article  PubMed  CAS  Google Scholar 

  128. Harvey JC, Goldstein JE, McCabe JC, Hoover El, Gay WA Jr, Subramanian VA. Complications of percutaneous intraaortic balloon pumping. Circulation. 1981; 64(Suppl II):II–114–117.

    Google Scholar 

  129. Wasfie T, Freed PS, Rubenfire M, et al. Risk associated with intraaortic balloon pumping in patients with and without diabetes mellitus. Am J Cardio. 1988:61:558–562.

    Article  CAS  Google Scholar 

  130. Martin SR III, Moncure AC, Buckley MJ, Austen WG, Akins C, Leinback RC. Complications of percutaneous intra-aortic balloon insertion. J Thorac Cardiovasc Surg. 1983;85:186–190.

    PubMed  Google Scholar 

  131. Sutorius DJ, Majewski JA, Miller SM. Vascular complications as a result of intra-aortic balloon pumping. Am Surg. 1979:512–516.

    Google Scholar 

  132. Hauser AM, Gordon S, Gangadharan, et al. Percutaneous intraaortic balloon counterpulsation. Clinical effectiveness and hazards. Chest. 1982;82:422–425.

    Article  PubMed  CAS  Google Scholar 

  133. Band JD, Maki DG. Infections caused by arterial catheters used for hemodynamic monitoring. Am J Med. 1979;67:735–741.

    Article  PubMed  CAS  Google Scholar 

  134. Stahl KD, Tortolani AJ, Nelson RL, Hall MH, Moccio CG, Parnell VA Jr. Intraaortic balloon rupture. Trans Am Soc Artif Intern Organs. 1988;XXXIV:496–499.

    Google Scholar 

  135. Milgalter E, Mosseri M, Uretzky G, Romanoff H. Intraaortic balloon entrapment: a complication of balloon perforation. Ann Thorac Surg. 1986;42:697–698.

    Article  PubMed  CAS  Google Scholar 

  136. Furman S, Vijaynagar R, Rosenbaum R, McMullen M, Escher DJ. Lethal sequelae of intra-aortic balloon rupture. Surgery. 1971;69:121–129.

    PubMed  CAS  Google Scholar 

  137. Tomatis L, Nemiroff M, Riahi M, et al. Massive air embolism due to rupture of pulsatile assist device: successful treatment in the hyperbaric chamber. Ann Thorac Surg. 1981;32:604–608.

    Article  PubMed  CAS  Google Scholar 

  138. Haykal HA, Wang AM. CT diagnosis of delayed cerebral air embolism following intraaortic balloon pump catheter insertion. Comput Radiol. 1986;10:307–309.

    Article  PubMed  CAS  Google Scholar 

  139. Jarmolowski CR, Poirier RL. Small bowel infarction complicating intra-aortic balloon counterpulsation via the ascending aorta. J Thorac Cardiovasc Surg. 1980; 79:735–737.

    PubMed  CAS  Google Scholar 

  140. Seifert PE, Silverman NA. Late paraplegia resulting from intraaortic balloon pump. [Letter]. Ann Thorac Surg. 1986;41:700.

    Article  PubMed  CAS  Google Scholar 

  141. Honet JC, Wajszczuk WJ, Rubenfire M, Kantrowitz A, Raikes JA. Neurological abnormalities in the leg(s) after use of intraaortic balloon pump: report of six cases. Arch Physic Med Rehab. 1975;56:346–352.

    CAS  Google Scholar 

  142. Pollock JC, Charlton MC, Williams WG, Edmonds JF, Trusler GA. Intraaortic balloon pumping in children. Ann Thorac Surg. 1980;29:522–528.

    Article  PubMed  CAS  Google Scholar 

  143. Veasy LG, Blalock RC, Orth JL, Boucek MM. Intraaortic balloon pumping in infants and children. Circulation. 1983;68:1095–1100.

    Article  PubMed  CAS  Google Scholar 

  144. Veasy LG, Webster HF, McGough EC. Intra-aortic balloon pumping: adaptation for pediatric use. Crit Care Clin. 1986;2:237–249.

    PubMed  CAS  Google Scholar 

  145. Webster H, Veasy LG. Intra-aortic balloon pumping in children. Heart Lung. 1985;14:548–555.

    PubMed  CAS  Google Scholar 

  146. del Nido PJ, Swan PR, Benson LN, et al. Successful use of intraaortic balloon pumping in a 2-kilogram infant. Ann Thorac Surg. 1988;46:574–576.

    Article  PubMed  Google Scholar 

  147. Spence PA, Weisel RD, Salerno TA. Right ventricular failure. Pathophysiology and treatment. Surg Clin North Am. 1985;65:689–697.

    PubMed  CAS  Google Scholar 

  148. Opravil M, Gorman AJ, Krejcie TC, Michaelis LL, Moran JM. Pulmonary artery balloon counterpulsation for right ventricular failure: I. Experimental results. Ann Thorac Surg. 1984;38:242–253.

    Article  PubMed  CAS  Google Scholar 

  149. Kralios AC, Zwart HHJ, Moulopoulos SD, Collan R, Kwan-Gett CS, Kolff WJ. Intrapulmonary artery balloon pumping. Assistance of the right ventricle. J Thorac Cardiovasc Surg. 1970;60:215–232.

    PubMed  CAS  Google Scholar 

  150. Spotnitz HM, Berman MA, Reis RL, Epstein SE. The effects of synchronized counterpulsation of the pulmonary artery on right ventricular hemodynamics. J Thorac Cardiovasc Surg. 1971;61:167–174.

    PubMed  CAS  Google Scholar 

  151. de la Riviére AB, Haasler G, Malm JR, Bregman D. Mechanical assistance of the pulmonary circulation after right ventricular exclusion. J Thorac Cardiovasc Surg. 1983;85:809–813.

    Google Scholar 

  152. Miller DC, Moreno-Cabral RJ, Stinson EB, Shinn JA, Shumway NE. Pulmonary artery balloon counterpulsation for acute right ventricular failure. J Thorac Cardiovasc Surg. 1980;80:760–763.

    PubMed  CAS  Google Scholar 

  153. Flege JB, Wright CB, Reisinger TJ. Successful balloon counterpulsation for right ventricular failure. Ann Thorac Surg. 1984;37:167–168.

    Article  PubMed  Google Scholar 

  154. Symbas PN, McKeown PP, Santora AH, Vlasis SE. Pulmonary artery balloon counterpulsation for treatment of intraoperative right ventricular failure. Ann Thorac Surg. 1985;39:437–440.

    Article  PubMed  CAS  Google Scholar 

  155. Gold JP, Shemin RJ, DiSesa VJ, Cohn L, Collins JJ Jr. Balloon pump support of the failing right heart. Clin Cardiol. 1985;8:599–602.

    Article  PubMed  CAS  Google Scholar 

  156. Moran JM, Opravil M, Gorman AJ, Rastegar H, Meyers SN, Michaelis LL. Pulmonary artery balloon counterpulsation for right ventricular failure: II. Clinical experience. Ann Thorac Surg. 1984;38:254–259.

    Article  PubMed  CAS  Google Scholar 

  157. Pennock JL, Pierce WS, Wisman CB, Bull AP, Waldhausen JA. Survival and complications following ventricular assist pumping for cardiogenic shock. Ann Surg. 1983;198:469–478.

    Article  PubMed  CAS  Google Scholar 

  158. Gaines WE, Pierce WS, Prophet GA, Holtzman K. Pulmonary circulatory support. A quantitative comparison of four methods. J Thorac Cardiovasc Surg. 1984; 88:958–964.

    PubMed  CAS  Google Scholar 

  159. Phillips SJ. Percutaneous cardiopulmonary bypass and innovations in clinical counterpulsation. Crit Care Clin. 1986;2:297–318.

    PubMed  CAS  Google Scholar 

  160. Zelano JA, Li JKJ, Welkowitz. A closed-loop control scheme for intraaortic balloon pumping. IEEE Trans Biomed Eng. 1990;37:182–192.

    Article  PubMed  CAS  Google Scholar 

  161. Kuklinski WS. Closed Loop Control of Intraaortic Balloon Pumping: Studies Using a Computer Simulation and Animal Experiments. [Dissertation] University of Rhode Island, Kingston, 1979.

    Google Scholar 

  162. Moskowitz MS, Freed PS, Kantrowitz A. A system for evaluation of computer control of intraaortic balloon pumping. Proceedings of the 28th annual conference on engineering in medicine and biology. New Orleans; 1975:348.

    Google Scholar 

  163. Cardona RR, Rios C, Freed PS, et al. Experimental models for studies of a closed loop, fully automatic intraaortic balloon pump. Cardiovascular Science and Technology Conference, Washington, D.C, 1991–92.

    Google Scholar 

  164. Kantrowitz A, Freed PS, Cardona R, et al. Initial Clinical Trial of a Closed-Loop, Fully Automatic Intraaortic Balloon Pump. Abstracts 38th Annual Meeting ASAIO, Nashurlle, TN, May 7–9, 1992.

    Google Scholar 

  165. Kantrowitz A, Freed PS, Gardona RR, et al. Initial clinical trial of a closed-loop, fully automatic intraaortic balloon pump. ASAIO J. 1992;38(3):617–21.

    Article  Google Scholar 

  166. Chachques JC, Grandjean PA, Schwartz K, et al. Effect of latissimus dorsi dynamic cardiomyoplasty on ventricular function. Circulation. 1988;78(Suppl 3):III–203–216.

    Google Scholar 

  167. Carpentier A, Chachques JC. Myocardial substitution with a stimulated skeletal muscle: first successful clinical case. [Letter]. Lancet. 1985;1:1267.

    Article  PubMed  CAS  Google Scholar 

  168. Acker MA, Anderson WA, Hammond RL, et al. Skeletal muscle ventricles in circulation. One to eleven weeks’ experience. J Thorac Cardiovasc Surg. 1987; 94:163–174.

    PubMed  CAS  Google Scholar 

  169. Li CM, Hill A, Colson M, et al. Implantable rate-responsive counterpulsation assist system. Ann Thorac Surg. 1990;49:356–362.

    Article  PubMed  CAS  Google Scholar 

  170. Chachques JC, Grandjean PA, Fischer EIC, et al. Dynamic aortomyoplasty to assist left ventricular failure. Ann Thorac Surg. 1990;49:225–230.

    Article  PubMed  CAS  Google Scholar 

  171. Miller CA, Pae WE Jr, Pierce WS. Combined registry for the clinical use of mechanical ventricular assist devices. Postcardiotomy cardiogenic shock. Trans Am Soc Artif Intern Organs. 1990;36:43–46.

    CAS  Google Scholar 

  172. Pennington DG, Bernhard WF, Golding LR, Berger RL, Khuri SF, Watson JT. Long-term follow-up of postcardiotomy patients with profound cardiogenic shock treated with ventricular assist devices. Circulation. 1985;72(Suppl II): II–216–226.

    Google Scholar 

  173. Gabbay S, Frater RWM. The extra-aortic balloon counterpulsation as an assist device. Trans Am Soc Artif Intern Organs. 1981;XXVII:598–603.

    Google Scholar 

  174. Nanas JN, Mason JW, Taenaka Y, Olsen DB. Comparison of an implanted abdominal aortic counterpulsation device with the intraaortic balloon pump in a heart failure model. J Am Coll Cardiol. 1986;7:1028–1035.

    Article  PubMed  CAS  Google Scholar 

  175. Sujansky E, Tjønneland S, Freed PS, Kantrowitz A. A dynamic aortic patch as a permanent auxiliary ventricle: experimental studies. Surgery. 1969;66:875–882.

    PubMed  CAS  Google Scholar 

  176. Kantrowitz A. In-series temporary and permanent cardiac assistance. In: Kantrowitz A, ed. ASAIO Primers in Artificial Organ. Number 3: Ventricular Assist Devices. Philadelphia: JB Lippincott; 1988:77–96.

    Google Scholar 

  177. Schraut W, Kiso I, Freed PS, et al. Permanent in-series cardiac assistance with the dynamic aortic patch: blood prosthesis interaction in long term canine experiments. Surgery. 1976;79:193–201.

    PubMed  CAS  Google Scholar 

  178. Baechler CA, Barnhart MI, Schraut W, Kantrowitz A. Studies on the dynamic aortic patch and the aorta in clinical trials. Proc Scanning Electron Microscopy Symposia. Chicago: Research Institute, 1973:443–449.

    Google Scholar 

  179. Kantrowitz A, Freed PS, Wasfie T, Kozlowski J, Rubenfire M. Permanent cardiac assistance in chronic congestive failure by means of mechanical auxiliary ventricle. In: Chang TMS, Bing-Lin-He, eds. Hemoperfusion and Artificial Organs. Beijing, China: Academic Publishers; 1983:149–169.

    Google Scholar 

  180. Kantrowitz A, Krakauer J, Rubenfire M, et al. Initial clinical experience with a new permanent mechanical auxiliary ventricle: the dynamic aortic patch. Trans Am Soc Artif Intern Organs. 1972;XVIII:159–167.

    Google Scholar 

  181. Kantrowitz A, Freed PS, Wasfie, et al. Development of percutaneous energy transmission system. Proceedings of the NHLBI Devices and Technology Branch, Contractor Meeting 1983:1–68.

    Google Scholar 

  182. Bar-Lev A, Freed PS, Mandell G, et al. Long-term percutaneous access device. In: Advances in continuous ambulatory peritoneal dialysis. Proceedings of the seven annual CAPD conference Kansas City, Missouri 1987:81–87.

    Google Scholar 

  183. Cardona RR, Kantrowitz A. Autologous fibroblast coating used to enhance percutaneous access device longevity. Am Coll Surg. 1990:29. Abstract.

    Google Scholar 

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Authors
  1. Adrian Kantrowitz
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  2. Raul R. Cardona
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  3. John Au
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  4. Paul S. Freed
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Editors and Affiliations

  1. Division of Cardiology, Oregon Cardiac Transplant Program, Oregon Health Sciences University, Portland, OR, 97201-3098, USA

    Jeffrey D. Hosenpud M.D.

  2. Division of Cardiology, Oregon Health Sciences University, Portland, OR, 97201-3098, USA

    Barry H. Greenberg M.D.

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© 1994 Springer-Verlag New York, Inc.

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Kantrowitz, A., Cardona, R.R., Au, J., Freed, P.S. (1994). Intraaortic Balloon Pumping in Congestive Heart Failure. In: Hosenpud, J.D., Greenberg, B.H. (eds) Congestive Heart Failure. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8315-4_28

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  • DOI: https://doi.org/10.1007/978-1-4613-8315-4_28

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