Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization
| Autor: | Jialin Xing, Jinhong Wang, Liangshan Wang, Chunjing Jiang, Dengbang Hou, Xiaomeng Wang, Feng Yang, Yu Jiang, Xiaotong Hou, Yongchao Cui, Zhichen Xing, Zhongtao Du, Na Miao, Xiaofang Yang, Xing Hao |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Myocardial Infarction 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Preoperative Care medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Myocardial infarction Coronary Artery Bypass Balloon pump Retrospective Studies Intra-aortic balloon pump Advanced and Specialized Nursing Intra-Aortic Balloon Pumping business.industry Cardiogenic shock General Medicine Middle Aged medicine.disease Survival Analysis Coronary revascularization Cardiac surgery Acute Disease Cardiology Female Heart-Assist Devices Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 35:145-153 |
| ISSN: | 1477-111X 0267-6591 |
| DOI: | 10.1177/0267659119865834 |
| Popis: | Objectives: The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting remains unknown. This study aimed to determine the efficacy and safety of the preoperative intra-aortic balloon pump insertion in those patients undergoing off-pump coronary artery bypass grafting. Methods: A total of 421 consecutive acute myocardial infarction patients without cardiogenic shock who underwent isolated off-pump coronary artery bypass grafting were enrolled in this retrospective observational propensity score–matched analysis study. Patients who received intra-aortic balloon pump before off-pump coronary artery bypass grafting (the intra-aortic balloon pump group, n = 157) were compared with those who had not (control group, n = 264). The 30-day postoperative survival, postoperative complications, and postoperative hospital length of stay were compared between the two groups. Results: A total of 99 pairs of patients were matched. The preoperative intra-aortic balloon pump did not show a 30-day postoperative survival benefit compared with the control group (hazard ratio, 0.9; 95% confidence interval, 0.2-4.2; p = 0.92). Patients with preoperative intra-aortic balloon pump were more likely to have shorter postoperative lengths of stay (8 (6-11) days vs. 10 (6-15) days, p = 0.02) and decreased total days in the hospital (median days: 18.2 vs. 21.8, p = 0.02) compared to patients without balloon pumps. Conclusion: Preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting improved convalescence as shown by significantly shorter postoperative lengths of hospital stay. |
| Databáze: | OpenAIRE |
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