The use of prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting

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 underwe...

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Bibliographic Details
Published in:PloS one 2019-10, Vol.14 (10), p.e0224273-e0224273
Main Authors: Nakamura, Ken, Hamasaki, Azumi, Uchida, Tetsuro, Kobayashi, Kimihiro, Sho, Ri, Kim, Cholsu, Uchino, Hideaki, Shimanuki, Takao, Sadahiro, Mitsuaki
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aorta
Balloon treatment
Cardiac patients
Cardiovascular disease
Care and treatment
Complications
Coronary artery
Coronary artery bypass
Coronary Artery Bypass - instrumentation
Coronary vessels
Female
Grafting
Heart
Heart surgery
Hospitals
Humans
Intra-Aortic Balloon Pumping
Kidneys
Male
Mechanical ventilation
Medical personnel
Medical research
Medicine
Medicine and Health Sciences
Meta-analysis
Morbidity
Mortality
Myocardial ischemia
Myocardial Ischemia - surgery
Patients
People and Places
Practice
Preoperative Period
Rehabilitation
Risk
Risk groups
Surgeons
Surgery
Systematic review
Treatment Outcome
University faculty
Ventilation
Weaning
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Summary: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). A prospective observational study. 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. 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. No IABP-related complications were noted, emphasizing that the use of prophylactic IABP in high-risk patients undergoing CABG is an acceptable option.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0224273