title: [S3-Guideline: Recommendations for intra-aortic balloon pumping in cardiac surgery].
abstract: Although intra-aortic balloon pumping (IABP) is the most frequently used mechanical cardiac assist device in cardiothoracic surgery, there are only guidelines for substantive sections of aortic counterpulsation including prophylactic and postoperative use. In contrast, evidence-based recommendations are still lacking concerning intraoperative use, management, contraindication and other relevant issues. According to international surveys, important aspects of IABP usage show a wide variation in clinical practice. The results of a national questionnaire performed before initiation of this guideline confirmed these findings and demonstrated a clear need for the development of a consensus-based guideline. Therefore, the presented multidisciplinary S-3-guideline was developed under the direction of the German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG) to make evidence-based recommendations for the usage of aortic counterpulsation after cardiothoracic surgery according to the requirements of the Association of the Scientific Medical Societies in Germany (AWMF) and the Medical Centre for Quality (Ärztliches Zentrum für Qualität - (ÄZQ)). Main topics discussed in this guideline involve IABP support in the prophylactic, preoperative, intraoperative and postoperative setting as well as the treatment of right heart failure, contraindications, anticoagulation, monitoring, weaning, and limitations of IABP therapy. The presented 15 key messages of the guideline were approved after two consensus meetings under moderation of the AWMF with participation of the German Society of Cardiology (DGK), German Society of Anaesthesiology and Intensive Care Medicine (DGAI), German Interdisciplinary Association for Intensive Care (DIVI) and the German Society for Cardiovascular Engineering (DGfK).
authors.affiliation: Universitätsklinikum Essen, Westdeutsches Herzzentrum Essen, Klinik für Thorax- und kardiovaskuläre Chirurgie.
authors.forename: Kevin
authors.initials: K
authors.lastname: Pilarczyk
authors.affiliation: MediClin Herzzentrum Coswig, Abteilung für Kardiotechnik.
authors.forename: Adrian
authors.initials: A
authors.lastname: Bauer
authors.affiliation: Universitätsklinikum Gießen und Marburg GmbH, Klinik für Herz-, Kinderherz- und Gefäßchirurgie, Standort Gießen.
authors.forename: Andreas
authors.initials: A
authors.lastname: Boening
authors.affiliation: Christian-Albrechts Universität zu Kiel, Klinik für Herz- und Gefäßchirurgie.
authors.forename: Michael
authors.initials: M
authors.lastname: von der Brelie
authors.affiliation: Klinikum Dortmund gGmbH, Klinik Herzchirurgie.
authors.forename: Ingolf
authors.initials: I
authors.lastname: Eichler
authors.affiliation: Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik und Poliklinik für Herz-, Thorax- und Gefäßchirurgie.
authors.forename: Bernard
authors.initials: B
authors.lastname: Gohrbandt
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie. Universitätsklinikum des Saarlandes.
authors.forename: Heinrich Volker
authors.initials: HV
authors.lastname: Groesdonk
authors.affiliation: Christian-Albrechts Universität zu Kiel, Klinik für Herz- und Gefäßchirurgie.
authors.forename: Nils
authors.initials: N
authors.lastname: Haake
authors.affiliation: Universität zu Lübeck, Klinik für Anästhesiologie und Intensivmedizin.
authors.forename: Matthias
authors.initials: M
authors.lastname: Heringlake
authors.affiliation: Uniklinik Köln, Klinik für Herz- und Thoraxchirurgie.
authors.forename: Georg
authors.initials: G
authors.lastname: Langebartels
authors.affiliation: Bundeswehrzentralkrankenhaus Koblenz, Klinik für Herz-und Gefäßchirurgie.
authors.forename: Andreas
authors.initials: A
authors.lastname: Markewitz
authors.affiliation: Universität Leipzig - Herzzentrum, Klinik für Innere Medizin/Kardiologie.
authors.forename: Holger
authors.initials: H
authors.lastname: Thiele
authors.affiliation: Universitäts-Herzzentrum Freiburg/Bad Krozingen, Klinik für Herz- und Gefäßchirurgie.
authors.forename: Georg
authors.initials: G
authors.lastname: Trummer
authors.affiliation: Universitätsklinikum Essen, Westdeutsches Herzzentrum Essen, Klinik für Thorax- und kardiovaskuläre Chirurgie.
authors.forename: Günter
authors.initials: G
authors.lastname: Marggraf
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D032921:Consensus; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects / Q000592:standards*; D018579:Patient Selection; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome