Elsevier

Critical Care Clinics

Volume 8, Issue 4, October 1992, Pages 819-837
Critical Care Clinics

Percutaneous Intra-Aortic Balloon Counterpulsation

https://doi.org/10.1016/S0749-0704(18)30227-6Get rights and content

Intra-aortic balloon pumping (IABP), a minimally invasive method of left ventricular support, has become a staple of management in the intensive care setting. Indications range from cardiogenic shock and its antecedents to unstable angina, percutaneous transluminal coronary angioplasty in high-risk patients, and perioperative support for heart surgery patients, as well as for cardiac patients undergoing general surgery. Complications are chiefly vascular or infectious and are predominantly minor. The technique is straightforward and rapidly initiated. Accurate synchronous phasing of balloon to heart action, the sine qua non of effective IABP, promises to be simplified and enhanced with the advent of new generation IABP systems.

References (0)

Cited by (19)

  • Automatic intraaortic balloon pump timing using an intrabeat dicrotic notch prediction algorithm

    2005, Annals of Thoracic Surgery
    Citation Excerpt :

    Sakamoto and coworkers [5], tested a timing algorithm during atrial fibrillation, however their method required reliable dicrotic notch detection, which was not available. Kantrowitz and associates [7] conducted a feasibility study in 10 patients using an undefined closed-loop IABP device. The device required between 7 to 20 seconds to optimize timing, suggesting that during severe arrhythmia timing variability may occur.

  • Miniature intracardiac assist device provides more effective cardiac unloading and circulatory support during severe left heart failure than lntraaortic balloon pumping

    2004, Chest
    Citation Excerpt :

    Both the IABP and the IMP were tested in each animal, in an alternated sequence in consecutive experiments. The IABP was driven in 1:1 mode and was tuned to maximize LV afterload reduction and diastolic aortic pressure augmentation.123 The IMP was run at medium speed (24,000 revolutions per minute; performance level, P5) and full speed (33,000 revolutions per minute; performance level, P9).

  • Acute myocardial infarction: Disposition to the operating room?

    2003, Emergency Medicine Clinics of North America
View all citing articles on Scopus
View full text