Experience with intra-aortic balloon pumping preventively used in patients with a low left ventricular ejection fraction, operated on under extracorporeal circulation

• Published in: Anesteziologiia i reanimatologiia no. 6; p. 51
• Main Authors: Lomivorotov, V V, Kornilov, I A, Cherniavskiĭ, A M, Sidel'nikov, S G, Deriagin, M N, Kalinin, R A, Safin, D R
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-11-2009
• Subjects: Aftercare; Blood Flow Velocity - physiology; Cardiac Catheterization; Coronary Artery Bypass, Off-Pump - adverse effects; Coronary Disease - surgery; Extracorporeal Circulation - adverse effects; Female; Hemodynamics - physiology; Humans; Intra-Aortic Balloon Pumping; Male; Middle Aged; Postoperative Complications - prevention & control; Stroke Volume - physiology; Ventricular Dysfunction, Left - surgery
• ISSN: 0201-7563

One hundred and fifty-six patients with coronary heart disease and a low (less than 30%) left ventricular ejection fraction (EF), operated on under extracorporeal circulation and preventive intra-aortic balloon pumping (IABP) were examined. The latter was found to promote the maintenance of stable hemodynamic parameters during and after surgery. Postoperative acute heart failure developed in 101 (64.7%) patients. Mortality was 9.6% (15 patients), in 9 cases death occurred after acute heart failure. There were no intra- and postoperative cases of lower extremity ischemia. Thus, preventive IABP is a safe and effective procedure in patients with low myocardial contractility (EF less than 30%), operated on under extracorporeal circulation.