PMID- 19359281
OWN - NLM
STAT- MEDLINE
DCOM- 20091008
LR  - 20090724
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 9
IP  - 2
DP  - 2009 Aug
TI  - Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary 
      artery bypass grafting: a propensity score analysis.
PG  - 291-4
LID - 10.1510/icvts.2008.196105 [doi]
AB  - The optimal use of prophylactic intra-aortic balloon pump (IABP) to prevent 
      postcardiotomy low cardiac output syndrome (LCOS) is still debated and poorly 
      defined. The aim of this study was to evaluate whether prophylactic IABP reduces 
      the rate of postcardiotomy LCOS and improves the early outcome in hemodynamically 
      stable, high-risk patients undergoing coronary artery bypass grafting (CABG). 
      From May 2004 to August 2007, 141 consecutive risk patients underwent CABG. Of 
      these 38 (27%) received prophylactic IABP. The remaining 103 patients underwent 
      operation without preoperative insertion of the device. Prophylactic IABP 
      patients were more likely to be younger (P<0.0001), had a recent myocardial 
      infarction (P<0.0001), lower ejection fraction (P=0.006), and higher New York 
      Heart Association (NYHA) functional class (P=0.05). After risk-adjusting for 
      propensity score, prophylactic IABP patients had a lower incidence of 
      postcardiotomy LCOS (adjusted OR 0.07, P=0.006), postoperative myocardial 
      infarction (adjusted OR 0.04, P=0.04), a shorter length of hospital stay 
      (10.4+/-0.8 vs. 12.2+/-0.6 days, P<0.0001) than those who did not receive IABP. 
      This study shows that prophylactic IABP treatment for hemodynamically stable 
      high-risk patients undergoing CABG may improve postoperative course reducing 
      postcardiotomy LCOS, postoperative myocardial infarction and length of hospital 
      stay.
FAU - Miceli, Antonio
AU  - Miceli A
AD  - Department of Cardiac Surgery, St Andrea Hospital, University of Rome La 
      Sapienza, Rome, Italy. antoniomiceli79@alice.it
FAU - Fiorani, Brenno
AU  - Fiorani B
FAU - Danesi, Tommaso Hinna
AU  - Danesi TH
FAU - Melina, Giovanni
AU  - Melina G
FAU - Sinatra, Riccardo
AU  - Sinatra R
LA  - eng
PT  - Journal Article
DEP - 20090409
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
CIN - Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):294-5. PMID: 19628543
MH  - Aged
MH  - Cardiac Output, Low/etiology/mortality/physiopathology/*prevention & control
MH  - Coronary Artery Bypass/*adverse effects/mortality
MH  - Coronary Artery Bypass, Off-Pump/adverse effects
MH  - Coronary Artery Disease/mortality/physiopathology/*surgery
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - *Intra-Aortic Balloon Pumping
MH  - Length of Stay
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/etiology/mortality/physiopathology/*prevention & control
MH  - Odds Ratio
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2009/04/11 09:00
MHDA- 2009/10/09 06:00
CRDT- 2009/04/11 09:00
PHST- 2009/04/11 09:00 [entrez]
PHST- 2009/04/11 09:00 [pubmed]
PHST- 2009/10/09 06:00 [medline]
AID - icvts.2008.196105 [pii]
AID - 10.1510/icvts.2008.196105 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):291-4. doi: 
      10.1510/icvts.2008.196105. Epub 2009 Apr 9.