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intra-aortic balloon pump (IABP, intra-aortic balloon counterpulsation)

Indications: - heart failure Contraindications: - cardiogenic shock due to myocardial infarction - no mortality benefit [3] Procedure: - use of a balloon attached to a catheter inserted through the femoral artery into the descending thoracic aorta for producing alternating inflation & deflation during diastole & systole, respectively Pathology: - hemodynamic consequences of IABP are: a) decreased myocardial oxygen demand b) improved coronary artery blood flow c) reduced preload d) reduced afterload Complications: - thrombocytopenia

Related

catheterization

General

device (medical device) surgical tissue replacement counterpulsation

References

  1. Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 124
  2. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  3. Thiele H et al. for the IABP-SHOCK II Trial Investigators. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med 2012 Aug 27 PMID: 22920912 http://www.nejm.org/doi/full/10.1056/NEJMoa1208410 - O'Connor CM and Rogers JG. Evidence for overturning the guidelines in cardiogenic shock. N Engl J Med 2012 Aug 27 PMID: 22920913 http://www.nejm.org/doi/full/10.1056/NEJMe1209601