Comparison of perioperative outcomes on different timing of intracortical balloon pump implantation of patient who with high risk coronary artery disease and undergoing coronary artery bypass grafting
Meng Shuping
Cheng Zhaoyun
Hu Yanlei
Ding Fuyan
Li Xiaohui
Liu Chao
Wang Xiaohang
Liu Furong
Abstract：Objective To compare the perioperative outcomes on different timing of intra-aortic balloon pump (IABP)implantation of patient who with high risk coronary artery disease and undergoing coronary artery bypass grafting (CABG). Methods A total of 136 high risk coronary artery disease patients who performed CABG with IABP in Fuwai Central China Cardiovascular Hospital from January 2015 to March 2017 were retrospectively analyzed. According to IABP placement time, they were divided into preoperative placement group (n=48) and intraoperative and postoperative implantation group (n=88). The mechanical ventilation time, ICU stay time, total hospitalization cost and hospital mortality were compared between the two groups. Results There is no significant difference in the age of the two groups, the proportion of male patients, the proportion of patients who smoked, the proportion of preoperative NYHA patients with cardiac function≥Ⅲ, the preoperative left ventricular ejection fraction, the number of bridge vessels in the bypass, and the proportion of patients undergoing cardiopulmonary bypass (P＞0.05). IABP application time in preoperative placement group [(45.3±22.1)h vs. (76.1±25.3)h], mechanical ventilation time [(48.8±16.2)h vs. (71.3±29.3)h] and ICU residence time [(65.2±15.2)h vs. (98.2 ±19.6)h] were significantly shorter than the intraoperative and postoperative placement group (P＜0.05), and the average hospitalization cost of preoperative placement group [(13.2±7.8) 10,000 yuan vs. (18.6±9.2) yuan] significantly lower than the intraoperative and postoperative placement group, the difference was statistically significant (P＜0.05). The hospital mortality rate of preoperative placement group was significantly lower than that of the intraoperative and postoperative placement group (8.3% vs. 25.0%), the difference was statistically significant (P＜0.05). Conclusion Preoperative IABP placement was safe and helpful for patient with high risk coronary artery disease. Preoperative preventative implantation of IABP in high-risk patients significantly reduced hospital mortality, the time of mechanical ventilation and intensive care unit stay and the cost of hospitalization.
Keywords：Intra-aortic balloon pumpCoronary artery bypass graftingOptimal time
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1315-1317,1321 )