PMID- 31130790
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 0972-5229 (Print)
IS  - 1998-359X (Electronic)
IS  - 0972-5229 (Linking)
VI  - 23
IP  - 4
DP  - 2019 Apr
TI  - Effect of Intra-arterial Balloon Pumping for Refractory Septic Cardiomyopathy: A 
      Case Series.
PG  - 182-185
LID - 10.5005/jp-journals-10071-23150 [doi]
AB  - BACKGROUND AND AIMS: Patients with septic cardiomyopathy (SCM) occasionally 
      develop refractory cardiogenic shock, which is difficult to resolve even with the 
      administration of standard dose of catecholamines. Although venoarterial 
      extracorporeal membrane oxygenation (VA-ECMO) has recently been reported with 
      good treatment results, there have been no evidence-based practices. Furthermore, 
      severe SCM may be fatal if the blood pressure cannot be increased. This case 
      series explored whether the application of intra-arterial balloon pumping (IABP) 
      is an effective method for increasing blood pressure in patients with severe SCM. 
      SUBJECTS AND METHODS: Over a 58-month period, all patients who were admitted in 
      the emergency and critical care center and managed with IABP were investigated. 
      Among these, data sets of patients diagnosed with SCM were evaluated 
      retrospectively. RESULTS: Ten patients were included in this analysis. Their mean 
      APACHE II and SOFA scores were 26.8+/-7.9 and 13.9+/-1.7, respectively. A mean 
      arterial pressure (MAP) increase of more than 30% was achieved in six patients, 
      and a decrease in catecholamine index was observed in five. The effective group 
      consisted of seven patients. The stroke volume increased in 83% of patients who 
      were equipped with pulmonary artery or transpulmonary thermodilution catheter. 
      Low heart rate and regular heart rhythm may be important factors for the 
      effectiveness of IABP for cardiogenic shock caused by refractory SCM. CONCLUSION: 
      Intra-arterial balloon pumping may be able to raise MAP in refractory SCM 
      patients even with septic shock by an increase in cardiac output. HOW TO CITE 
      THIS ARTICLE: Takahashi Y, Sonoo T, et al. Effect of Intra-arterial Balloon 
      Pumping for Refractory Septic Cardiomyopathy: A Case Series. Indian J Crit Care 
      Med 2019;23(4):182-185.
FAU - Takahashi, Yuji
AU  - Takahashi Y
AD  - Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 
      Hitachi, Ibaraki, Japan.
FAU - Sonoo, Tomohiro
AU  - Sonoo T
AD  - Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 
      Hitachi, Ibaraki, Japan.
FAU - Naraba, Hiromu
AU  - Naraba H
AD  - Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 
      Hitachi, Ibaraki, Japan.
FAU - Hashimoto, Hideki
AU  - Hashimoto H
AD  - Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 
      Hitachi, Ibaraki, Japan.
FAU - Nakamura, Kensuke
AU  - Nakamura K
AD  - Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 
      Hitachi, Ibaraki, Japan.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Crit Care Med
JT  - Indian journal of critical care medicine : peer-reviewed, official publication of 
      Indian Society of Critical Care Medicine
JID - 101208863
PMC - PMC6521831
OTO - NOTNLM
OT  - Cardiogenic shock
OT  - Critical care
OT  - IABP
OT  - Intra-arterial balloon pumping for refractory SCM may be an effective method to 
      stabilize circulation status
OT  - Sepsis
OT  - Septic cardiomyopathy
OT  - especially for patients with low heart rates and regular rhythm
COIS- Source of support: Nil Conflict of interest: None
EDAT- 2019/05/28 06:00
MHDA- 2019/05/28 06:01
PMCR- 2019/04/01
CRDT- 2019/05/28 06:00
PHST- 2019/05/28 06:00 [entrez]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2019/05/28 06:01 [medline]
PHST- 2019/04/01 00:00 [pmc-release]
AID - 10.5005/jp-journals-10071-23150 [doi]
PST - ppublish
SO  - Indian J Crit Care Med. 2019 Apr;23(4):182-185. doi: 
      10.5005/jp-journals-10071-23150.