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Intra-aortic Balloon Counterpulsation in Patients With Severe Cardiac Dysfunction Undergoing Abdominal Operations
Vafa Shayani, MD;
William C. Watson, BS;
M. Ashraf Mansour, MD;
Neil Thomas, MD;
Jack Pickleman, MD
Arch Surg. 1998;133:632-636.
Objective To assess the effectiveness of intra-aortic balloon counterpulsation (IABC) as adjunctive treatment in patients undergoing abdominal operations.
Design Retrospective review of patient medical records to determine the incidence of mortality following abdominal surgery and the incidence of complications from IABC.
Setting University-based, tertiary care hospital.
Patients Sixty-eight patients who underwent an abdominal operation and IABC during the same hospitalization were divided into the following groups: Group 1, IABC initiated prior to operation to enhance perioperative cardiac function; group 2, IABC used to treat cardiogenic shock in a patient who subsequently required an operation while undergoing IABC; and group 3, IABC device inserted and removed for treatment of cardiogenic shock in a patient who subsequently required an operation within 30 days of removal of the device.
Main Outcome Measures The incidence of mortality in IABC-supported patients and IABC-related complications.
Results In group 1, excluding 3 patients who died following emergency operation, 26 patients underwent nonemergency procedures and had a 12% mortality rate. In group 2, 5 of 6 patients who underwent emergency operations died, whereas 3 of 4 patients who required only urgent operations survived. In group 3, 18 (62%) of 29 patients who underwent urgent or emergent operations died postoperatively. Thirteen patients experienced complications related to IABC; there were no deaths and no limbs were lost to ischemia.
Conclusions This is the largest reported series looking at the utility of IABC as adjunctive treatment for patients undergoing abdominal operations. The outcome for those patients requiring emergency operations remains poor, but it is likely that more liberal use of IABC in patients with severe cardiac dysfunction who require nonemergency operations may improve patient outcome.
From the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Ill.
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471521 - CASE REPORT: PRE-OPERATIVE INTRA-AORTIC BALLOON PUMP FOR ELECTIVE ABDOMINAL PERINEAL RESECTION IN A PATIENT WITH POOR LEFT VENTRICULAR FUNCTION
Min and Harle
Canadian J. Anesthesia 2008;55:471521-471521.
ABSTRACT
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ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery
Fleisher et al.
J Am Coll Cardiol 2007;50:e159-e242.
FULL TEXT
ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)
Fleisher et al.
Circulation 2007;116:e418-e500.
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