Prolonged use for at least 10 days of intraaortic balloon pumping (IABP) for heart failure

Oshima, Kiyohiro, Morishita, Yasuo, Hinohara, Hiroshi, Kadoi, Yuji, Hayashi, Yoshiro, Tajima, Yukio and Kunimoto, Fumio (2005) Prolonged use for at least 10 days of intraaortic balloon pumping (IABP) for heart failure. International Heart Journal, 46 6: 1041-1047. doi:10.1536/ihj.46.1041

Author Oshima, Kiyohiro
Morishita, Yasuo
Hinohara, Hiroshi
Kadoi, Yuji
Hayashi, Yoshiro
Tajima, Yukio
Kunimoto, Fumio
Title Prolonged use for at least 10 days of intraaortic balloon pumping (IABP) for heart failure
Journal name International Heart Journal   Check publisher's open access policy
ISSN 1349-2365
Publication date 2005
Sub-type Article (original research)
DOI 10.1536/ihj.46.1041
Volume 46
Issue 6
Start page 1041
End page 1047
Total pages 7
Place of publication Tokyo, Japan
Publisher University of Tokyo
Language eng
Formatted abstract
Intraaortic balloon pumping (IABP) is a useful therapy for refractory heart failure. However, the safe duration of this therapy and possible complications due to long-term IABP support remain unclear. In this study, we reviewed retrospectively patients requiring the long-term use of IABP, defined here as 10 days or more, to estimate the background and prognosis of patients undergoing long-term use of IABP. The characteristics and perioperative status were compared between survivors and nonsurvivors.
A total of 18 patients including 12 males and 6 females required long-term IABP use. IABP was induced in 13 patients (72%) following cardiac surgery and in 5 without cardiac surgery. The mean duration of IABP support was 17 ± 7 days. Seven patients survived and 11 died of heart failure and/or associated other organ failure. Multiple organ failure (MOF) was recognized in 10 patients, and the incidence of MOF was significantly (P = 0.005) lower in the survivors (14%) compared to the nonsurvivors (82%). The percentage of postcardiac surgery patients was also significantly (P = 0.027) higher in nonsurvivors (91%) than in survivors (43%). Logistic regression analysis identified MOF and cardiac surgery as independent predictors for death. Femoral arterial-venous fistula was the only IABP-related complication. In patients receiving long-term IABP, attention should be paid to other organ complications associated with heart failure, and the use of other circulatory supports such as PCPS or VAD to avoid MOF should be considered if necessary.
Keyword IABP
Long-term use
Heart failure
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
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Created: Fri, 21 Oct 2011, 14:54:31 EST by Laurie Beechey on behalf of UQ Centre for Clinical Research