Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Predictors of Intra-Aortic Balloon Pump Insertion in Coronary Surgery and Mid-Term Results

  • Ergues, Kazim (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital) ;
  • Yurekli, Ismail (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital) ;
  • Celik, Ersin (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital) ;
  • Yetkin, Ufuk (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital) ;
  • Yilik, Levent (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital) ;
  • Gurbuz, Ali (Department of Cardiovascular Surgery, Izmir Katip Celeby University Ataturk Training and Research Hospital)
  • Received : 2013.01.28
  • Accepted : 2013.07.23
  • Published : 2013.12.05
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Abstract

Background: We aimed to investigate the preoperative, operative, and postoperative factors affecting intra-aortic balloon pump (IABP) insertion in patients undergoing isolated on-pump coronary artery bypass grafting (CABG). We also investigated factors affecting morbidity, mortality, and survival in patients with IABP support. Methods: Between January 2002 and December 2009, 1,657 patients underwent isolated CABG in Izmir Katip Celebi University Ataturk Training and Research Hospital. The number of patients requiring support with IABP was 134 (8.1%). Results: In a multivariate logistic regression analysis, prolonged cardiopulmonary bypass time and prolonged operation time were independent predictive factors of IABP insertion. The postoperative mortality rate was 35.8% and 1% in patients with and without IABP support, respectively (p=0.000). Postoperative renal insufficiency, prolonged ventilatory support, and postoperative atrial fibrillation were independent predictive factors of postoperative mortality in patients with IABP support. The mean follow-up time was $38.55{\pm}22.70$ months and $48.78{\pm}25.20$ months in patients with and without IABP support, respectively. The follow-up mortality rate was 3% (n=4) and 5.3% (n=78) in patients with and without IABP support, respectively. Conclusion: The patients with IABP support had a higher postoperative mortality rate and a longer length of intensive care unit and hospital stay. The mid-term survival was good for patients surviving the early postoperative period.

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References

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