Comparison of outcomes after 8 vs. 9.5 French size intra-aortic balloon counterpulsation catheters based on 9,332 patients in the prospective Benchmark registry.
The Benchmark intra-aortic balloon counterpulsation (IABC) registry maintains prospectively gathered clinical information on a large cohort of IABC patients. The purpose of the present report is to compare in-hospital outcomes and complications in patients treated with the newer 8 vs. 9.5 Fr size catheters. Between January 1997 and August 2000, data on 7,078 9.5 Fr and 2,254 8 Fr IABC insertions were submitted to Benchmark. This was not a randomized comparison but rather a posthoc analysis of prospectively gathered data. There was less limb ischemia with the 8 Fr IABC size catheter. There were no significant differences in bleeding or mortality between the two groups. Smaller IABC catheter size is associated with significantly less limb ischemia, especially in higher-risk patients. The large, population-based, ongoing Benchmark registry provides a useful vehicle for outcomes research concerning the evolving practice of IABC.
Cohen
Marc
M
Division of Cardiology, M.C.P. Hahnemann University, Philadelphia, Pennsylvania, USA. marc.cohen@tenethealth.com
Ferguson
James J
JJ
Freedman
Robert J
RJ
Miller
Michael F
MF
Reddy
Ramachandra C
RC
Ohman
E Magnus
EM
Stone
Gregg W
GW
Christenson
Jan
J
Joseph
Debra L
DL
D000368:Aged; D002404:Catheterization; D004867:Equipment Design; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D012042:Registries; D012307:Risk Factors; D016896:Treatment Outcome