Intraaortic balloon counterpulsation

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Intraaortic Balloon

Intra-Aortic balloon pump (IABP) is a type of mechanical cardiac support. It is a mechanical device whose function is to support a failed circulation. [1][2]

Intra-Aortic balloon pump consists of a counterpulsation balloon implemented most often by the femoral artery into the descending part of the thoracic aorta and the counterpulsation device. [3]

Principle[edit | edit source]

IABP

The principle of IABP is to inflate a counterpulsation balloon with inert gas (helium) in diastole and to blow it in systole. [4] 

Inflating a balloon in diastole increases intraaortic pressure in the ascending aorta and aortic arch, potentiating blood expulsion into the aa. & nbsp; coronariae, truncus brachiocephalicus, a. & nbsp; carotis communis sin., a. & nbsp; subclavia sin.(possibly aortocoronary bypasses). We are talking about diastolic augmentation', which results in increased blood flow through the coronary arteries. [5]
[6]

Blowing out the balloon just before the onset of systole leads to a reduction in intraaortic pressure, and thus to a reduction in afterload. Balloon inflation and deflation are controlled by the ECG or arterial pressure curve. [7]

Diastolic augmentation and reduction afterload result in reduced left ventricular labor requirements and myocardial oxygen consumption.[8]

Indication[edit | edit source]

The indications of IABP include:[9][10][11]

Contraindications[edit | edit source]

An absolute contraindication to IABP is a significant aortic valve insufficiency (diastolic pressure augmentation increases the diastolic volume of the left ventricle, which may cause damage to the left ventricle), [12] aortic aneurysm, traumatic aortic changes. [13]

Complications[edit | edit source]

Among the possible complications of IABP are mainly: [14][15][16] [17]

  • bleeding and infection at the puncture site;
  • arterial perforation;
  • artery dissection (a. & nbsp; femoralis, a. & nbsp; iliaca, aorta);
  • limb ischemia;
  • thrombocytopenia.


Links[edit | edit source]

Related articles[edit | edit source]

External links[edit | edit source]

Tutorial video 1 IABP on YouTube. Tutorial video 2 IABP on YouTube

Sources[edit | edit source]

</references>VANĚK, Ivan. Kardiovaskulární chirurgie. 1. edition. 2002. ISBN 80-246-0523-6.


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MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 


Recommended literature[edit | edit source]

  • MANĎÁK, Jiří. Intraaortální balonková kontrapulzace. 1. edition. Grada, 2006. ISBN 8024707349.
  1. ↑ VANĚK, Ivan. Kardiovaskulární chirurgie. 1. edition. 2002. ISBN 80-246-0523-6.
  2. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  3. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  4. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  5. ↑ VANĚK, Ivan. Kardiovaskulární chirurgie. 1. edition. 2002. ISBN 80-246-0523-6.
  6. ↑ ZEMAN, Miroslav. Speciální chirurgie. 2. edition. 2006. ISBN 80-7262-260-9.
  7. ↑ VANĚK, Ivan. Kardiovaskulární chirurgie. 1. edition. 2002. ISBN 80-246-0523-6.
  8. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  9. ↑ HOCHMAN, JS – BOLAND, J – SLEEPER, LA. Current spectrum of cardiogenic shock and effect of early revascularization on mortality. Results of an International Registry. SHOCK Registry Investigators. Circulation [online]. 1995, vol. 3, p. 873–81, Available from <https://www.ncbi.nlm.nih.gov/pubmed/7828316>. ISSN 0009-7322. 
  10. ↑ SANBORN, TA – SLEEPER, LA – BATES, ER. "Impact of thrombolysis, intra-aortic balloon pump counterpulsation, and their combination in cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries for cardiogenic shocK?. "J Am Coll Cardiol" [online]. 2000, vol. 3 Suppl A, p. 1123–9, Available from <https://www.ncbi.nlm.nih.gov/pubmed/10985715>. ISSN 0735-1097. 
  11. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, y. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  12. ↑ VANĚK, Ivan. Kardiovaskulární chirurgie. 1. edition. 2002. ISBN 80-246-0523-6.
  13. ↑ MANĎÁK, Jiří. "Intraaortální balonková kontrapulzace". "Kardiologické fórum" [online]. 2005, vol. 3, p. 44–46, Available from <http://www.kardiologickeforum.cz/pdf/kf_05_02_09.pdf>. ISSN 1801-7606. 
  14. ↑ MECO, M – GRAMEGNA, G – YASSINI, A. "Mortality and morbidity from intra-aortic balloon pumps. Risk analysis". "J Cardiovasc Surg Torino" [online]. 2002, vol. 1, p. 17–23, Available from <https://www.ncbi.nlm.nih.gov/pubmed/11803322>. ISSN 0021-9509. 
  15. ↑ VONDERHEIDE, RH – THADHANI, R – KUTER, DJ. Association of thrombocytopenia with the use of intra-aortic balloon pumps. "Am J Med" [online]. 1998, vol. 1, p. 27-32, Available from <https://www.ncbi.nlm.nih.gov/pubmed/9688018>. ISSN 0002-9343. 
  16. ↑ ISNER, JM – COHEN, SR – VIRMANI, R. "Complications of the intraaortic balloon counterpulsation device: clinical and morphologic observations in 45 necropsy patients". "Am J Cardiol" [online]. 1980, vol. 2, p. 260-8, Available from <https://www.ncbi.nlm.nih.gov/pubmed/7355736>. ISSN 0002-9149. 
  17. ↑ MANĎÁK, Jiří – LONSKÝ, Vladimír – DOMINIK, Jan. Vascular complications of the intra-aortic balloon counterpulsation. Angiology [online]. 2005 Jan-Feb, vol. 1, p. 69-74, Available from <https://www.ncbi.nlm.nih.gov/pubmed/15678258>. ISSN 0003-3197. 
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