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


Autoři: Ken Nakamura aff001;  Azumi Hamasaki aff002;  Tetsuro Uchida aff002;  Kimihiro Kobayashi aff001;  Ri Sho aff003;  Cholsu Kim aff001;  Hideaki Uchino aff001;  Takao Shimanuki aff001;  Mitsuaki Sadahiro aff002
Působiště autorů: Division of Cardiovascular Surgery, Nihonkai General Hospital, Sakata, Japan aff001;  Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan aff002;  Department of Public Health, Yamagata University Faculty of Medicine, Yamagata, Japan aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0224273

Souhrn

Objective

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).

Design

A prospective observational study

Methods

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.

Results

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.

Conclusions

No IABP-related complications were noted, emphasizing that the use of prophylactic IABP in high-risk patients undergoing CABG is an acceptable option.

Klíčová slova:

Surgical and invasive medical procedures – Intensive care units – Prophylaxis – Vascular surgery – Surgeons – Cardiac surgery – Coronary artery bypass grafting – Cardiac rehabilitation


Zdroje

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2019 Číslo 10
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