[The intraaortic balloon counterpulsation (author's transl)].
Indication for and clinical experience with intra aortic balloon counterpulsation at Harefield Hospital are reported. From Sept. 1973 to Sept. 1977, 87 patients had counterpulsation. Indications were: postinfarction cardiogenic shock in 28 cases; acute ischaemic episode in 19 and postoperative cardiogenic shock in 40. Of the 28 patients in postinfarction cardiogenic shock 15 underwent open heart surgery with an hospital mortality of 40%. All the patients with acute ischaemic episodes had surgery with an hospital mortality of 10%. In the group of 40 patients with postoperative cardiogenic shock overall mortality was 47%: it was of 18% in the 22 patients who had coronary artery bypass surgery while it was of 83% in the 18 patients who had valve surgery. Early recognition and treatment of conditions requiring counterpulsation is essential for achieving the best results.
D001145:Arrhythmias, Cardiac / Q000628:therapy*; D001243:Assisted Circulation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy; D011183:Postoperative Complications; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D012772:Shock, Septic / Q000628:therapy*
La contropulsazione con pallone intra-aortico.