Impact of intra-aortic balloon pump support timing on early prognosis of patients undergoing off-pump coronary artery bypass grafting
Dang Haiming
Song Bangrong
Dong Ran
Abstract：Objective To explore the impact of intra-aortic balloon pump (IABP) support timing on the early prognosis of patients undergoing off-pump coronary artery bypass grafting(OPCABG).Methods A total of 161 OPCABG patients who were treated with IABP from November 2015 to May 2016 in Beijing Anzhen Hospital,Capital Medical University were enrolled.Group A (n =37) had IABP before surgical operation.Group B (n =124) had IABP during or after surgery due to disease condition.Basic clinical data and surgical records were analyzed between groups.Results Preoperative basic data,operation time and bypass numbers showed no significant differences between groups(P ＞ 0.05).Use rate of internal mammary artery in group A was significantly higher and incidences of low cardiac output syndrome,acute kidney injury and newly developed atrial fibrillation were significantly lower than those in group B(P ＜ 0.05).Rates of continuous renal replacement therapy,lower extremity ischemia of IABP side,newly developed stroke,extracorporeal membrane oxygenation support due to severe circulation failure and death showed no significant differences between groups (P ＞ 0.05).Mechanical ventilation time and intensive care unit stay time in group A were significantly shorter than those in group B[(33 ± 13)h vs (47 ±28)h,(3.8 ± 1.4)d vs(4.7 ± 2.3) d] (P ＜ 0.05).Conclusion Prophylactic treatment with IABP can shorten mechanical ventilation and intensive care unit residence,reduce acute renal injury and perioperative mortality in OPCABG patients.
Keywords：Intra-aortic balloon pumpOff-pump coronary artery bypass graftingPrognosis
Publication Date：2018-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1145-1147 )