Aggressive use of intra-aortic balloon pump and emergency coronary bypass surgery. Enhanced survival in acute evolving MI.
This report describes our experience with prophylactic and therapeutic use of IABPs prior to and following coronary artery bypass grafting (CABG) in 39 patients experiencing acute evolving myocardial infarctions (AEMI). All patients showed objective evidence of coronary thrombosis (contrast angiography) followed by later evidence of streptokinase (SK)-induced restoration of antegrade blood flow in the infarct-related coronary artery (as determined by repeat angiography). In these 39 high-risk patients, 38 survived and were discharged. One patient died (2.6 per cent) on the twelfth postoperative day.
Mantia
A M
AM
Lerberg
D B
DB
Stullken
E H
EH
Lolley
D M
DM
Pagan
H C
HC
Swensen
N M
NM
D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass; D004630:Emergencies; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D011184:Postoperative Period