title: Prophylactic Subclavian Artery Intraaortic Balloon Counter-Pulsation is Safe in High-Risk Cardiac Surgery Patients.
abstract: The objective of this study was to determine the safety of prophylactic subclavian artery intraaortic balloon pumps (SCA-IABP) in high-risk cardiac surgery patients as a bridge to recovery (BTR). From November 2011 to January 2013, 11 consecutive patients at three institutions underwent prophylactic insertion of a SCA-IABP as a BTR. All patients (n = 11) had preoperative ejection fractions of 30% or less. Patients concurrently underwent one or a combination of the following procedures: coronary artery bypass grafting, mitral valve surgery, aortic valve replacement, left ventricular aneurysm resection, and ventricular/atrial septal defect closure. The primary outcome measure was a composite endpoint of device-related complications (including limb ischemia, stroke, device failure, bleeding requiring reoperation, brachial plexus injury, device-related infection, and vascular complications) and in-hospital mortality. Secondary outcome measures included interval to patient ambulation and postoperative length of stay. There were no device-related complications or in-hospital mortalities in this cohort of 11 consecutive patients. Mean time to ambulation, balloon pump support, and postoperative length of stay were 3.70 ± 2.50 days, 8.50 ± 7.00 days, and 15.9 ± 8.25 days, respectively. Prophylactic SCA-IABPs appear to be safe in high-risk cardiac surgery patients as a BTR.
authors: From the *Newark Beth Israel Medical Center, Barnabas Heart Hospitals, Newark, New Jersey; †Cardiovascular Clinical Research Unit, Barnabas Heart Hospitals, Newark, New Jersey; ‡Section of Cardiac and Thoracic Surgery, Department of Surgery, §Section of Interventional Cardiology, Department of Medicine, University of Chicago Medicine, Chicago, Illinois; and ¶Department of Cardiovascular-Thoracic Surgery, Rush University Medical Center, Chicago, Illinois.
authors: Mark J
authors: MJ
authors: Russo
authors: Valluvan
authors: V
authors: Jeevanandam
authors: Michael J
authors: MJ
authors: Hur
authors: Elizabeth M
authors: EM
authors: Johnson
authors: Travis
authors: T
authors: Siffring
authors: Atman P
authors: AP
authors: Shah
authors: Jaishankar
authors: J
authors: Raman
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000401:mortality*; D006331:Heart Diseases / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008875:Middle Aged; D011300:Preoperative Care; D020127:Recovery of Function; D013318:Stroke Volume; D013348:Subclavian Artery / Q000601:surgery*