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Efficacy of Intra-Aortic Balloon Pump in Postcardiotomy Cardiogenic Shock  

장지원 (국립암센터)
민선경 (이화여자대학교 의과대학 목동병원 흉부외과, 이화여자대학교 흉부외과학교실)
원태희 (이화여자대학교 의과대학 목동병원 흉부외과, 이화여자대학교 흉부외과학교실)
안재호 (이화여자대학교 의과대학 목동병원 흉부외과, 이화여자대학교 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.35, no.6, 2002 , pp. 449-453 More about this Journal
Abstract
Intra-aortic balloon pump (IABP) is well known for its hemodynamic benefit but still has its own complications. Proper use of IABP is the best way to obtain maximum benefit with low complication rate. Material and Method： Twenty one(men 10, female 11) patients were included in this study among the 100 consecutive adult cardiac surgery patients in our hospital. Eighteen(85.7%) were ischemic heart disease patients. They all received IABP therapy due to postcardiotomy cardiogenic shock according to the well-known indications. Their preoperative conditions, intraoperative factors including hemodynamics, postoperative conditions and IABP-related complications were analyzed. Result： Nineteen patients(90.5%) were successfully weaned from IABP. There were 2 patients of operative death and the mortality rate was 9.5%. Duration of IABP use was 40.7$\pm$24.3 hours. There were 2 cases(9.5 %) of IABP-related vascular complications that required surgical intervention. Conclusion： We concluded that IABP could be used effectively and safely for postcardiotomy cardiogenic shock patients with low complication rate.
Keywords
Shock; cardiogenic; Intra-aortic balloon pump;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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