Abstract
Intra-aortic balloon pump (IABP), at the present time, continues to be the most commonly used cardiac support device. IABPs enhance myocardial function by maximizing oxygen supply and minimizing oxygen demand. A balloon placed in the proximal descending aorta is inflated and deflated, and by synchronizing this counterpulsation with either the ECG or arterial waveform, blood can be displaced. During diastolic inflation, blood is displaced both proximally and distally, increasing diastolic pressure and thereby increasing coronary and systemic perfusion. Deflation of the balloon just before the left ventricle contraction reduces afterload and LV strain.
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References
Parissis H, Graham V, Lampridis S, Lau M, Hooks G, Mhandu PC. IABP: history-evolution-pathophysiology-indications: what we need to know. J Cardiothorac Surg. 2016;11:122.
Krishna M, Zacharowski K. Principles of intra-aortic balloon pump counterpulsation. Continuing education in anaesthesia. Crit Care Pain. 2009;9(1):24–8.
Trost JC, Hillis LD. Intra-aortic balloon counterpulsation. Am J Cardiol. 2006;97(9):1391–8.
Kim JT, Lee JR, Kim JK, Yoon SZ, Jeon Y, et al. The carina as a useful radiographic landmark for positioning the intraaortic balloon pump. Anesth Analg. 2007;105(3):735–8.
Gilotra NA, Stevens GR. Temporary mechanical circulatory support: a review of the options, indications, and outcomes. Clin Med Insights Cardiol. 2014;8:75–85.
Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, et al. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013;382:1638–45.
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Helwani, M.A., Srinivasan, J.D. (2017). Intra-aortic Balloon Pump (IABP). In: Raj, T. (eds) Data Interpretation in Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-55862-2_23
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DOI: https://doi.org/10.1007/978-3-319-55862-2_23
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