APPLICATION OF INTRA-AORTIC BALLOON PUMP IN CORONARY ARTERY BYPASS GRAFTING
- VernacularTitle:冠状动脉旁路术后主动脉内气囊反搏的应用
- Author:
Cangsong XIAO
;
Changqing GAO
;
Boju LI
- Publication Type:Journal Article
- Keywords:
coronary disease;
coronary artery bypass;
intra aortic balloon pumping
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
To introduce the experience in application of intra aortic balloon pump (IABP) in coronary artery bypass grafting (CABG), 506 consecutive CABG performed from March 1997 to October 2001 including 19 cases who needed IABP support were retrospectively studied. IABP was inserted through femoral artery when blood circulation failed to maintain normal even though cardiopulmonary bypass had been weaned off and inotropic agents administered. The overall rate of using IABP was 2 4%. IABP was not needed in off pump CABG. Sixteen patients smoothly resuscitated from low output syndrome, but two died of perioperative myocardial infarction (PMI) and one of allergic shock to protamine, resulting in a mortality rate of 15 8%. Two patients (10 5%) were respectively insulted by external iliac artery rupture and thromboembolism of dorsal pedis artery but cured completely. The complication rate was 10 5%. The mean duration of using IABP was 25 3?5 6 hours. The authors hold that IABP should be used without hesitation when indicated and good early outcome and low incidence of complication can always be obtained.
