Intra-aortic Balloon Pump Application Timing after Coronary Artery Bypass Grafting_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

RENHai-bo , LIYing , WEIYu , LIUBin , XIAOHong-yan ,  XUWei-jiang

Department of Intensive Care Unit, Wuhan Asia Heart Hospital, Wuhan 430022, P. R. China;

Corresponding author：

XUWei-jiang, Email: racey@126.com

Keywords：

Intra-aortic balloon pump; Coronary artery bypass grafting; Perioperative

DOI：

10.7507/1007-4848.20150166

Video：

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Objective To summarize the experience of intra-aortic balloon pump (IABP) application on coronary artery bypass grafting（CABG）during perioperative period. Methods We retrospectively analyzed the data of 82 patients undergoing simple CABG operation in Wuhan Asia Heart Hospital between January 2011 and December 2013. There were 50 male and 32 female patients at age of 49-75 (63.6±11.5) years. The patients were divided into three groups including a group A (12 patients, preoperative-placed IABP), a group B(39 patients , postoperative active placed IABP), and a group C (31 patients, postoperative passive placed IABP). The clinical effects of the three groups were compared. Results There were significantly statistic differences in sequential organ failure assessment (SOFA) score after postoperative 48 hours, ventilator supporting time, IABP supporting time, catecholamine drug usage time, infection incidence, incidence of ventricular arrhythmia, ICU retention time, postoperative hospital stay, CBP usage rate, and postoperative mortality (P<0.05) among the three groups with worse effect in the group C. Conclusion Taking IABP support during CABG perioperative period is an effective treatment. Preventively preoperative and actively postoperative placing IABP can improve the treatment effects significantly. Therefore, patients should apply CABG as soon as possible without hesitation when IABP indications occur.

Citation： RENHai-bo, LIYing, WEIYu, LIUBin, XIAOHong-yan, XUWei-jiang. Intra-aortic Balloon Pump Application Timing after Coronary Artery Bypass Grafting. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(7): 653-656. doi: 10.7507/1007-4848.20150166 Copy

1.	丁文军, 魏强, 孙勇新, 等. 主动脉内球囊反搏在高危患者非体外循环冠状动脉旁路移植术中的应用. 中国胸心血管外科临床杂志, 2013, 20(1):10-14.
2.	张林, 高长青, 李伯君, 等. EuroSCORE高危患者围术期应用主动脉内球囊反搏的效果分析. 南方医科大学学报, 2011, 31(4):730-733.
3.	Theologou T, Bashir M, Rengarajan A, et al. Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting. Cochrane Database Syst Rev, 2011, 19(1):CD004472.
4.	Miceli A, Duggan SM, Capoun R, et al. A clinical score to predict the need for intraaortic balloon pump in patients undergoing coronary artery bypass grafting. Ann Thorac Surg, 20l0, 90(2):522-526.
5.	Bonios MJ, Pierrakos CN, Argiriou M, et al. Increase in coronary blood flow by intro-aortic balloon counter pulsation in a porcine model of myocardial reperfusion. Int J Cardiol, 20l0, 138(3):253 260.
6.	Gregoric ID, Poglajen G, Span M, et al. Percutaneous ventricular assist device support during off pump surgical coronary revascularization. Ann Thorac Surg, 2008, 86(2):637-639.
7.	Lorusso R, Gelsominos S, Carella R, et al. Impact of prophylactic intra-aortic balloon counter-pulsation on postoperative outcome in high-risk cardiac surgery patients:a muticentre, propensity score analysis. Eur J Cardiothorac Surg, 2010, 38(5):585-591.
8.	Sa MP, Ferraz PE, Escobar RR, et al. Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass surgery:a meta-analysis of randomized controlled trials. Coron Artery Dis, 2012, 23(7):480——486.
9.	蒙延海, 常谦, 王水云, 等. 高危病人冠状动脉旁路移植术前预防性应用主动脉内球囊反搏泵的临床效果——Meta分析. 中国循环杂志, 2014, 29(2):94-98.
10.	丁文军, 魏强, 孙勇新, 等. 主动脉内球囊反搏在高危患者非体外循环冠状动脉旁路移植术中的应用. 中国胸心血管外科临床杂志, 2013, 20(1):10-14.
11.	Ngaage DL, Zehr KJ, Daly RC, et al. Off-pump strategy in high-risk coronary artery bypass reoperation. Mayo Clin Proc, 2007, 82(5):567-571.
12.	Taguchi Shinichi, Tsutsumi Koji, Okamoto Masahiko, et al. Prophylactic use of intra-aortic balloon pumps in open heart surgery. Artif Organs, 2012, 36(12):1056-1059.
13.	房勤, 张玉海, 谷天祥, 等. 心脏手术围术期主动脉内球囊反搏的临床应用. 中国循环杂志, 2010, 25(4):299-301.
14.	叶明, 郑俊波, 姜雪松, 等. 冠状动脉旁路移植术围手术期主动脉内球囊反搏应用时机的临床体会. 内科急危重症杂志, 2012, 18(1):16-30.
15.	Vohra HA, Dimitri WR. Elective intraaortic balloon counterpulsation in high risk off-pump coronary artery bypass grafting. J Card-Surg, 2006, 21(1):1-5.
16.	Manzo-Silberman S, Fichet J, Mathonnet A, et al. Percutaneous left ventricular assistance in post cardiac arrest shock:comparison of intra aortic blood pump and IMPELLA Recover LP 2.5. Resuscitation, 2013, 84(5):609-615.
17.	Manohar VA, Levin RN, Karadolian SS, et al. The impact of intraaortic balloon pump weaning protocols on in-hospital clinical outcomes. J Interv Cardiol, 2012, 25(2):140-146.
18.	Russo MJ, Jeevanandam V, Stepney J, et al. Intra-aortic balloon pump inserted through the subclavian artery:a minimally invasive approach to mechanical support in the ambulatory end-stage heart failure patient. J Thorac Cardiovasc Surg, 2012, 144(4):951-955.
19.	刘冬, 来永强, 章良, 等. 主动脉内球囊反搏患者P-选择素与血小板减少症的相关性研究. 心肺血管病杂志, 2013, 32(1):34-37.
20.	Raina A, Seetha Rammohan HR, Gertz ZM, et al. Postoperative right ventricular failure after left ventricular assist device placement is predicted by preoperative echocardiographic structural, hemodynamic, and functional parameters. J Card Fail, 2013, 19(1):16-24.
21.	Romeo F, Acconcia MC, Sergi D, et al. The outcome of intra-aortic balloon pump support in acute myocardial infarction complicated by cardiogenic shock according to the type of revascularization:a comprehensive meta analysis. Am Heart J, 2013, 165(5):679-692.
22.	Joskowiak D, Szlapka M, Kappert U, et al. Intra-aortic balloon pump implantation does not affect long-term survival after isolated CABG in patients with acute myocardial infarction. Thorac Cardiovasc Surg, 2011, 59(7):406-410.
23.	高泉鑫, 龚庆成, 李嘉维, 等. 主动脉内球囊反搏在高危冠状动脉旁路移植手术中的预防性应用. 中华胸心血管外科杂志, 2009, 25(1):20-22.
24.	Erguneş Kazim, Yurekli Ismail, Celik Ersin, et al. Predictors of intra-aortic balloon pump insertion in coronary surgery and midterm results. Korean J Thorac Cardiovasc Surg, 2013, 46(6):444-448.
25.	肖巍, 张健群, 孔晴宇, 等. 非体外循环心脏不停跳冠状动脉旁路移植术加左心室室壁瘤折叠术的临床效果. 中国胸心血管外科临床杂志, 2013, 20(1):20-23.

1. 丁文军, 魏强, 孙勇新, 等. 主动脉内球囊反搏在高危患者非体外循环冠状动脉旁路移植术中的应用. 中国胸心血管外科临床杂志, 2013, 20(1):10-14.
2. 张林, 高长青, 李伯君, 等. EuroSCORE高危患者围术期应用主动脉内球囊反搏的效果分析. 南方医科大学学报, 2011, 31(4):730-733.
3. Theologou T, Bashir M, Rengarajan A, et al. Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting. Cochrane Database Syst Rev, 2011, 19(1):CD004472.
4. Miceli A, Duggan SM, Capoun R, et al. A clinical score to predict the need for intraaortic balloon pump in patients undergoing coronary artery bypass grafting. Ann Thorac Surg, 20l0, 90(2):522-526.
5. Bonios MJ, Pierrakos CN, Argiriou M, et al. Increase in coronary blood flow by intro-aortic balloon counter pulsation in a porcine model of myocardial reperfusion. Int J Cardiol, 20l0, 138(3):253 260.
6. Gregoric ID, Poglajen G, Span M, et al. Percutaneous ventricular assist device support during off pump surgical coronary revascularization. Ann Thorac Surg, 2008, 86(2):637-639.
7. Lorusso R, Gelsominos S, Carella R, et al. Impact of prophylactic intra-aortic balloon counter-pulsation on postoperative outcome in high-risk cardiac surgery patients:a muticentre, propensity score analysis. Eur J Cardiothorac Surg, 2010, 38(5):585-591.
8. Sa MP, Ferraz PE, Escobar RR, et al. Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass surgery:a meta-analysis of randomized controlled trials. Coron Artery Dis, 2012, 23(7):480——486.
9. 蒙延海, 常谦, 王水云, 等. 高危病人冠状动脉旁路移植术前预防性应用主动脉内球囊反搏泵的临床效果——Meta分析. 中国循环杂志, 2014, 29(2):94-98.
10. 丁文军, 魏强, 孙勇新, 等. 主动脉内球囊反搏在高危患者非体外循环冠状动脉旁路移植术中的应用. 中国胸心血管外科临床杂志, 2013, 20(1):10-14.
11. Ngaage DL, Zehr KJ, Daly RC, et al. Off-pump strategy in high-risk coronary artery bypass reoperation. Mayo Clin Proc, 2007, 82(5):567-571.
12. Taguchi Shinichi, Tsutsumi Koji, Okamoto Masahiko, et al. Prophylactic use of intra-aortic balloon pumps in open heart surgery. Artif Organs, 2012, 36(12):1056-1059.
13. 房勤, 张玉海, 谷天祥, 等. 心脏手术围术期主动脉内球囊反搏的临床应用. 中国循环杂志, 2010, 25(4):299-301.
14. 叶明, 郑俊波, 姜雪松, 等. 冠状动脉旁路移植术围手术期主动脉内球囊反搏应用时机的临床体会. 内科急危重症杂志, 2012, 18(1):16-30.
15. Vohra HA, Dimitri WR. Elective intraaortic balloon counterpulsation in high risk off-pump coronary artery bypass grafting. J Card-Surg, 2006, 21(1):1-5.
16. Manzo-Silberman S, Fichet J, Mathonnet A, et al. Percutaneous left ventricular assistance in post cardiac arrest shock:comparison of intra aortic blood pump and IMPELLA Recover LP 2.5. Resuscitation, 2013, 84(5):609-615.
17. Manohar VA, Levin RN, Karadolian SS, et al. The impact of intraaortic balloon pump weaning protocols on in-hospital clinical outcomes. J Interv Cardiol, 2012, 25(2):140-146.
18. Russo MJ, Jeevanandam V, Stepney J, et al. Intra-aortic balloon pump inserted through the subclavian artery:a minimally invasive approach to mechanical support in the ambulatory end-stage heart failure patient. J Thorac Cardiovasc Surg, 2012, 144(4):951-955.
19. 刘冬, 来永强, 章良, 等. 主动脉内球囊反搏患者P-选择素与血小板减少症的相关性研究. 心肺血管病杂志, 2013, 32(1):34-37.
20. Raina A, Seetha Rammohan HR, Gertz ZM, et al. Postoperative right ventricular failure after left ventricular assist device placement is predicted by preoperative echocardiographic structural, hemodynamic, and functional parameters. J Card Fail, 2013, 19(1):16-24.
21. Romeo F, Acconcia MC, Sergi D, et al. The outcome of intra-aortic balloon pump support in acute myocardial infarction complicated by cardiogenic shock according to the type of revascularization:a comprehensive meta analysis. Am Heart J, 2013, 165(5):679-692.
22. Joskowiak D, Szlapka M, Kappert U, et al. Intra-aortic balloon pump implantation does not affect long-term survival after isolated CABG in patients with acute myocardial infarction. Thorac Cardiovasc Surg, 2011, 59(7):406-410.
23. 高泉鑫, 龚庆成, 李嘉维, 等. 主动脉内球囊反搏在高危冠状动脉旁路移植手术中的预防性应用. 中华胸心血管外科杂志, 2009, 25(1):20-22.
24. Erguneş Kazim, Yurekli Ismail, Celik Ersin, et al. Predictors of intra-aortic balloon pump insertion in coronary surgery and midterm results. Korean J Thorac Cardiovasc Surg, 2013, 46(6):444-448.
25. 肖巍, 张健群, 孔晴宇, 等. 非体外循环心脏不停跳冠状动脉旁路移植术加左心室室壁瘤折叠术的临床效果. 中国胸心血管外科临床杂志, 2013, 20(1):20-23.

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Intra-aortic Balloon Pump Application Timing after Coronary Artery Bypass Grafting

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