The effect of preoperative use of intra-aortic balloon pump in acute myocardial infarction without cardiogenic shock patients undergoing off-pump coronary artery bypass grafting
10.3760/cma.j.issn.1001-4497.2018.07.007
- VernacularTitle:不停跳冠状动脉旁路移植术前预防性应用主动脉内球囊反搏治疗急性心肌梗死
- Author:
Dengbang HOU
1
;
Feng YANG
;
Yongchao CUI
;
Jin-Hong WANG
;
Chunjing JIANG
;
Xing HAO
;
Zhichen XING
;
Bo XU
;
Yu JIANG
;
Xiaofang YANG
;
Zhongtao DU
;
Jialin XING
;
Xiao-Tong HOU
Author Information
1. 100029,首都医科大学附属北京安贞医院心脏外科危重症中心
- Keywords:
Myocardial infarction;
Off-pump coronary artery bypass grafting;
Intra-aortic balloon pump
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(7):409-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of preoperative intra-aortic balloon pump(IABP) insertion in acute myocardial infarction(AMI) without cardiogenic shock(CS) patients receiving off-pump coronary artery bypass grafting ( OPCABG).Methods 444 consecutive AMI patients who underwent isolated OPCABG from January 2009 to December 2016 were enrolled.158 patients who underwent preoperative IABP placement(IABP group) and the other of 286 patients who did not have IABP placement(control group).The in-hospital mortality rate, postoperative complications, mechanical ventilation time, ICU stay and hospital length were compared between the two groups.Results The overall mortality was 5.0%.135 pairs of patients were matched.The preoperative IABP insertion showed benefits in postoperative survival rate compared with the control group(0 vs.5.9%, P＝0.004).However, patients with preoperative IABP were more likely to prolong duration of mechanical ventilation and ICU stay.The postoperative length of stay in hospital didn't show significant difference between the two groups.Conclusion Survival advantage was observed from preoperative IABP insertion in AMI patients without CS under-going OPCABG.
