Intraaortic balloon pumping women: effects of balloon size on survival
| Autor: | Beddermann C, Turner Sa, McGee Mg, Denning Jv, Norman Jc, Davis Gl |
|---|---|
| Rok vydání: | 1980 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Hemodynamics Coronary Disease Balloon law.invention Sex Factors Intraaortic balloon pump law Internal medicine Volume expansion Cardiopulmonary bypass Medicine Humans Assisted Circulation Aged Postoperative Care Intraaortic balloon Cardiopulmonary Bypass Intra-Aortic Balloon Pumping Intraoperative Care business.industry Middle Aged Cardiology Surgery Female Ischemic myocardial dysfunction Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Thoracic and cardiovascular surgeon. 28(6) |
| ISSN: | 0171-6425 |
| Popis: | Between 1972 and 1978, 429 patients underwent intraaortic balloon pump (IABP) counterpulsation in our institution. Ninety-six were women (22.4). The overall mortality was 52.9% for men and 69.8% for women. During 1978, however, the mortality for women decreased to 57.1%, even though they comprised a larger percentage of patients (28.2%) than before. The major indication for IABP support in these women was ischemic myocardial dysfunction resulting in failure to wean from cardiopulmonary bypass (THI hemodynamic Classification C) despite volume expansion and pharmacologic support. Improved results were obtained with the use of larger intraaortic balloons and direct ascending aortic IABP insertion (which allowed use of larger, more effective 30 or 40 ml balloons), combined with delayed sternal closure. |
| Databáze: | OpenAIRE |
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