Academic Journal
The use of prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting.
| Title: | The use of prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting. |
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| Authors: | Ken Nakamura, Azumi Hamasaki, Tetsuro Uchida, Kimihiro Kobayashi, Ri Sho, Cholsu Kim, Hideaki Uchino, Takao Shimanuki, Mitsuaki Sadahiro |
| Source: | PLoS ONE, Vol 14, Iss 10, p e0224273 (2019) |
| Publisher Information: | Public Library of Science (PLoS), 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Medicine LCC:Science |
| Subject Terms: | Medicine, Science |
| More Details: | OBJECTIVE:Intra-aortic balloon pump (IABP) is one of the most commonly used mechanical circulatory assist devices for high-risk patients undergoing cardiac surgery. In an effort to validate previously reported clinical outcomes, we describe the preoperative characteristics and outcomes of patients who underwent prophylactic IABP in high-risk patients undergoing coronary artery bypass grafting (CABG). DESIGN:A prospective observational study. METHODS:From 2005 to 2017, 471 patients underwent either isolated or combined CABG at our institution. Of those, 393 patients underwent isolated CABG and were included for the analysis. Eighty-five patients (22%) were considered high-risk and underwent prophylactic IABP, with subsequent review of surgical morbidity and mortality rates. RESULTS:The 30-day postoperative mortality (prophylactic IABP group vs non prophylactic IABP group: 0% vs 1.6%, p = 0.589) and major adverse cardiac or cerebrovascular events (5.9% vs 3.3%, p = 0.333) were not significantly different between the two groups. Prolonged mechanical ventilation (>72 hours) (12.5% vs 4.2%, p = 0.014) occurred more frequently in the prophylactic IABP group. CONCLUSIONS:No IABP-related complications were noted, emphasizing that the use of prophylactic IABP in high-risk patients undergoing CABG is an acceptable option. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1932-6203 |
| Relation: | https://doaj.org/toc/1932-6203 |
| DOI: | 10.1371/journal.pone.0224273 |
| Access URL: | https://doaj.org/article/f451cf6c90d74281a64ca1cffa67ce1a |
| Accession Number: | edsdoj.f451cf6c90d74281a64ca1cffa67ce1a |
| Database: | Directory of Open Access Journals |
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| ISSN: | 19326203 |
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| DOI: | 10.1371/journal.pone.0224273 |
| Published in: | PLoS ONE |
| Language: | English |