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Preoperative intraaortic balloon pump for salvage myocardial revascularization.
Journal article

Preoperative intraaortic balloon pump for salvage myocardial revascularization.

  • Christenson JT Clinic for Cardiovascular Surgery, University Hospital, rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland. JTChristenson@hotmail.com
  • 2003-01-23
Published in:
  • Asian cardiovascular & thoracic annals. - 2002
Aged
Coronary Artery Bypass
Female
Follow-Up Studies
Hospital Mortality
Humans
Intra-Aortic Balloon Pumping
Length of Stay
Male
Myocardial Revascularization
Outcome Assessment, Health Care
Preoperative Care
Salvage Therapy
Shock, Cardiogenic
Survival Rate
Time Factors
English The benefit of preoperative intraaortic balloon pumping on hospital and 1-year mortality was assessed in 17 consecutive patients with cardiogenic shock who underwent salvage coronary artery bypass surgery between January 1996 and May 2000. Mean preoperative cardiac index was 1.57 +/- 0 23 L.min(-1).m(-2). Hemodynamic stability was achieved prior to surgery in 14 patients, and mean cardiac index increased to 2.28 +/- 0.64 L.min(-1).m(-2). Hospital mortality was 5.9% (1 patient). Five patients required postoperative intraaortic balloon pumping because of low cardiac output. The duration of intensive care, hospital stay, and the total procedural cost were similar to those reported for high-risk coronary bypass grafting. Cardiac event-free survival was 88.2% (15/17) at 1 year. Intraaortic balloon pumping promises to be an effective therapy for patients in cardiogenic shock who subsequently undergo surgical myocardial revascularization as a salvage procedure.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/261314
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