Intraaortic Balloon Pump Counterpulsation, Part I: History, Technical Aspects, Physiologic Effects, Contraindications, Medical Applications/Outcomes. Anesth Analg 2020 Sep;131(3):776-791
Date
06/27/2020Pubmed ID
32590485DOI
10.1213/ANE.0000000000004954Scopus ID
2-s2.0-85090589594 (requires institutional sign-in at Scopus site) 37 CitationsAbstract
Intraaortic balloon pump counterpulsation is the most common form of mechanical circulatory support used in patients with myocardial ischemia and cardiogenic shock. The physiologic principles of counterpulsation include diastolic augmentation of aortic pressure and systolic reduction of left ventricular afterload, resulting in hemodynamic benefits through increased coronary perfusion pressure and improved myocardial oxygen balance in patients with myocardial ischemia. Major trials have failed to conclusively demonstrate improvements in morbidity and mortality with counterpulsation therapy for patients with acute myocardial infarction (MI), cardiogenic shock, and/or severe coronary artery disease undergoing revascularization therapy, and the debate over its applications continues. Part I of this review focuses on the history of the development of counterpulsation, technical considerations, and complications associated with its use, its physiologic effects, and evidence for its use in myocardial ischemia and cardiogenic shock.
Author List
González LS, Chaney MAAuthor
Laura Gonzalez MD Associate Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AnimalsContraindications, Procedure
Coronary Artery Disease
Hemodynamics
History, 20th Century
History, 21st Century
Humans
Intra-Aortic Balloon Pumping
Myocardial Infarction
Myocardial Revascularization
Recovery of Function
Risk Assessment
Risk Factors
Shock, Cardiogenic
Treatment Outcome
Ventricular Function
