Abstract
Recent international consensus has identified intra-aortic balloon counterpulsation (IABP) as a therapeutic modality that may reduce perioperative mortality [Landoni et al. (Acta Anesthesiol Scand 55:259-66, 2011), Landoni et al. (J Cardiothorac Vasc Anesth 26:764-72, 2012)]. The therapeutic benefit of IABP stems from its improvement of left ventricular performance by minimizing oxygen supply/demand mismatch [Peura et al. (Circulation 126:2648-67, 2012)]. Balloon inflation during diastole enhances coronary perfusion pressure to boost myocardial oxygen delivery. Balloon deflation just prior to systole reduces myocardial oxygen demand by unloading the left ventricle.
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Augoustides, J.G.T., Sophocles, A., Silvay, G. (2014). Reducing Perioperative Mortality with Intra-Aortic Balloon Counterpulsation (IABP). In: Landoni, G., Ruggeri, L., Zangrillo, A. (eds) Reducing Mortality in the Perioperative Period. Springer, Cham. https://doi.org/10.1007/978-3-319-02186-7_13
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