Predictors of survival 1 hour after implantation of an intra-aortic balloon pump in cardiac surgery

Harald Hausmann, Evgenij V. Potapov, Andreas Koster, Henryk Siniawski, Marian Kukucka, Matthias Loebe, Thomas Krabatsch, R. Sodian, Ruhi Yeter, Hermann Kuppe, Roland Hetzer

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

From July 1996 to March 2000, 391 patients with intraoperative cardiac low-output syndrome who underwent surgery with heart-lung bypass and had an intra-aortic balloon pump (IABP) implanted were analyzed in a prospective study. Of these 391 patients, 153 (39%) were operated on in an emergency situation, and 238 (61%) patients had elective surgeries. The perioperative mortality was 34% (133 patients). Clinical parameters were analyzed 1 hour after IABP support began. Statistical multivariate analysis showed that patients with an adrenaline requirement higher than 0.5 μg/kg/min, a left atrial pressure higher than 15 mmHg, output of less than 100 mL/hour, and mixed venous saturation (SvO2) of less than 60% had poor outcomes. Using this data, we developed an IABP score to predict survival early after IABP implantation in cardiac surgery. We conclude that the success or failure of perioperative IABP support can be predicted early after implantation of the balloon pump. In patients with low-output syndrome despite IABP support, implantation of a ventricular assist system should be considered.

Original languageEnglish
Pages (from-to)72-77
Number of pages6
JournalJournal of cardiac surgery
Volume16
Issue number1
StatePublished - Nov 10 2001

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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