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Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry.

Publication ,  Journal Article
Stone, GW; Ohman, EM; Miller, MF; Joseph, DL; Christenson, JT; Cohen, M; Urban, PM; Reddy, RC; Freedman, RJ; Staman, KL; Ferguson, JJ
Published in: J Am Coll Cardiol
June 4, 2003

OBJECTIVES: We sought to examine contemporary utilization patterns and clinical outcomes in patients with acute myocardial infarction (AMI) requiring intra-aortic balloon pump (IABP) counterpulsation. BACKGROUND: Despite increasing experience with and broadened indications for intra-aortic counterpulsation, the current indications, associated complications, and clinical outcomes of IABP use in AMI are unknown. METHODS: Between June 1996 and August 2001, data were prospectively collected from 22,663 consecutive patients treated with aortic counterpulsation at 250 medical centers worldwide; 5,495 of these patients had AMI. RESULTS: Placement of an IABP in AMI patients was most frequently indicated for cardiogenic shock (27.3%), hemodynamic support during catheterization and/or angioplasty (27.2%) or prior to high-risk surgery (11.2%), mechanical complications of AMI (11.7%), and refractory post-myocardial infarction unstable angina (10.0%). Balloon insertions were successful in 97.7% of patients. Diagnostic catheterization was performed in 96% of patients, and 83% underwent coronary revascularization before hospital discharge. The in-hospital mortality rate was 20.0% (38.7% in patients with shock) and varied markedly by indication and use of revascularization procedures. Major IABP complications occurred in only 2.7% of patients, despite median use for three days, and early IABP discontinuation was required in only 2.1% of patients. CONCLUSIONS: With contemporary advances in device technology, insertion technique, and operator experience, IABP counterpulsation may be successfully employed for a wide variety of conditions in the AMI setting, providing significant hemodynamic support with rare major complications in a high-risk patient population.

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Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

June 4, 2003

Volume

41

Issue

11

Start / End Page

1940 / 1945

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Stroke Volume
  • Prospective Studies
  • Predictive Value of Tests
  • Postoperative Complications
  • Myocardial Revascularization
  • Myocardial Infarction
  • Middle Aged
  • Male
 

Citation

APA
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ICMJE
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Stone, G. W., Ohman, E. M., Miller, M. F., Joseph, D. L., Christenson, J. T., Cohen, M., … Ferguson, J. J. (2003). Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry. J Am Coll Cardiol, 41(11), 1940–1945. https://doi.org/10.1016/s0735-1097(03)00400-5
Stone, Gregg W., E Magnus Ohman, Michael F. Miller, Debra L. Joseph, Jan T. Christenson, Marc Cohen, Philip M. Urban, et al. “Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry.J Am Coll Cardiol 41, no. 11 (June 4, 2003): 1940–45. https://doi.org/10.1016/s0735-1097(03)00400-5.
Stone GW, Ohman EM, Miller MF, Joseph DL, Christenson JT, Cohen M, et al. Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry. J Am Coll Cardiol. 2003 Jun 4;41(11):1940–5.
Stone, Gregg W., et al. “Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry.J Am Coll Cardiol, vol. 41, no. 11, June 2003, pp. 1940–45. Pubmed, doi:10.1016/s0735-1097(03)00400-5.
Stone GW, Ohman EM, Miller MF, Joseph DL, Christenson JT, Cohen M, Urban PM, Reddy RC, Freedman RJ, Staman KL, Ferguson JJ. Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: the benchmark registry. J Am Coll Cardiol. 2003 Jun 4;41(11):1940–1945.
Journal cover image

Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

June 4, 2003

Volume

41

Issue

11

Start / End Page

1940 / 1945

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Stroke Volume
  • Prospective Studies
  • Predictive Value of Tests
  • Postoperative Complications
  • Myocardial Revascularization
  • Myocardial Infarction
  • Middle Aged
  • Male