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Review
. 2020 Sep;131(3):792-807.
doi: 10.1213/ANE.0000000000004999.

Balloon Pump Counterpulsation Part II: Perioperative Hemodynamic Support and New Directions

Laura S González  1 , Mark A Chaney  2
Affiliations
Review

Balloon Pump Counterpulsation Part II: Perioperative Hemodynamic Support and New Directions

Laura S González et al. Anesth Analg. 2020 Sep.

Abstract

Intraaortic balloon pump (IABP) counterpulsation, introduced more than 50 years ago, remains the most commonly utilized mechanical circulatory support device for patients with cardiogenic shock and myocardial ischemia, despite lack of definitive proof regarding its outcome in these patients. Part I of this review focused on the history of counterpulsation, physiologic principles, technical considerations, and evidence for its use in cardiogenic shock; Part II will discuss periprocedural uses for IABP counterpulsation and review advances in technology, including the emergence of alternative mechanical circulatory support devices that have influenced IABP utilization.

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References

    1. Shah M, Patnaik S, Patel B, et al.Trends in mechanical circulatory support use and hospital mortality among patients with acute myocardial infarction and non-infarction related cardiogenic shock in the United States. Clin Res Cardiol. 2018;107:287–303.
    1. Ghia S, Dhawan R, Chaney MA, et al.Can I go home with that balloon pump? J Cardiothorac Vasc Anesth. 2018;32:1468–1479.
    1. Rihal CS, Naidu SS, Givertz MM, et al.Society for Cardiovascular Angiography and Interventions (SCAI); Heart Failure Society of America (HFSA); Society of Thoracic Surgeons (STS); American Heart Association (AHA), and American College of Cardiology (ACC). 2015 SCAI/ACC/HFSA/STS clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care: endorsed by the American Heart Association, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; affirmation of value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d’intervention. J Am Coll Cardiol. 2015;65:e7–e26.
    1. Thiele H, Zeymer U, Neumann FJ, et alIABP-SHOCK II Trial Investigators. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med. 2012;367:1287–1296.
    1. Thiele H, Zeymer U, Neumann FJ, et alIntraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013;382:1638–1645.

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