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Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery.

Publication ,  Journal Article
Christenson, JT; Cohen, M; Ferguson, JJ; Freedman, RJ; Miller, MF; Ohman, EM; Reddy, RC; Stone, GW; Urban, PM
Published in: Ann Thorac Surg
October 2002

BACKGROUND: As the proportion of high-risk patients for cardiac surgery increases, use of intraaortic balloon counterpulsation (IABC) has increased, especially in preoperative therapy. Although the efficacy and cost-effectiveness of IABC have been demonstrated, historically higher complication rates have dissuaded some practitioners from using IABC. METHODS: This report describes IABC use in cardiac surgery, examines trends in complications over time, and compares outcomes in preoperative versus postoperative use in a single prospective worldwide registry over the past 3 years. RESULTS: The frequency of IABC use appears to be increasing with time as the complication rates have dramatically fallen. The overall IABC-related complication rate was 6.5% (460/7,101), and the rate of major complications (requiring surgery or transfusion) was 2.1% (148/7,101). Hospital mortality was significantly lower in patients treated preoperatively with IABC compared with patients treated postoperatively (8.8% vs 28.2%, p < 0.0001), although this may be due to a selection bias in the postoperative group. CONCLUSIONS: Preoperative IABC therapy leads to better patient outcomes in high-risk CABG patients. Improved IABC technology and better surveillance have led to increased use with lower complication rates. Although selection bias is inherent in retrospective studies, the Benchmark Counterpulsation Outcomes Registry outcomes are in close concordance to prospective randomized studies previously reported.

Duke Scholars

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

October 2002

Volume

74

Issue

4

Start / End Page

1086 / 1090

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Respiratory System
  • Registries
  • Prospective Studies
  • Intra-Aortic Balloon Pumping
  • Humans
  • Databases, Factual
  • Cardiac Surgical Procedures
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Christenson, J. T., Cohen, M., Ferguson, J. J., Freedman, R. J., Miller, M. F., Ohman, E. M., … Urban, P. M. (2002). Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery. Ann Thorac Surg, 74(4), 1086–1090. https://doi.org/10.1016/s0003-4975(02)03854-7
Christenson, Jan T., Marc Cohen, James J. Ferguson, Robert J. Freedman, Michael F. Miller, E Magnus Ohman, Ramachandra C. Reddy, Gregg W. Stone, and Philip M. Urban. “Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery.Ann Thorac Surg 74, no. 4 (October 2002): 1086–90. https://doi.org/10.1016/s0003-4975(02)03854-7.
Christenson JT, Cohen M, Ferguson JJ, Freedman RJ, Miller MF, Ohman EM, et al. Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery. Ann Thorac Surg. 2002 Oct;74(4):1086–90.
Christenson, Jan T., et al. “Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery.Ann Thorac Surg, vol. 74, no. 4, Oct. 2002, pp. 1086–90. Pubmed, doi:10.1016/s0003-4975(02)03854-7.
Christenson JT, Cohen M, Ferguson JJ, Freedman RJ, Miller MF, Ohman EM, Reddy RC, Stone GW, Urban PM. Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery. Ann Thorac Surg. 2002 Oct;74(4):1086–1090.
Journal cover image

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

October 2002

Volume

74

Issue

4

Start / End Page

1086 / 1090

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Respiratory System
  • Registries
  • Prospective Studies
  • Intra-Aortic Balloon Pumping
  • Humans
  • Databases, Factual
  • Cardiac Surgical Procedures
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology