Application of intra-aortic balloon pump in elderly patients undergoing off-pump coronary artery bypass grafting
Wang Yipeng
Ma Jun
Dong Ran
Abstract：Objective To observe the effectiveness of intra-aortic balloon pump(IABP) in elderly patients undergoing off-pump coronary artery bypass grafting (OPCABG).Methods Clinical data of 183 consecutive patients undergoing IABP-assisted OPCABG between July 2016 and June 2017 in Beijing Anzhen Hospital,Capital Medical University were reviewed.The patients were divided into ≥70 years old group (n =56) and ＜ 70 years old group(n =127).Clinical data,surgical records and postoperative recovery were analyzed.Results There was no significant difference of operating time and number of bypass arteries between groups(P ＞ 0.05).Internal thoracic artery was less used in ≥70 years old group compared to that in ＜70 years old group[60.7％ (34/56) vs 84.3％ (107/127)] (P ＜ 0.001).No obvious difference in postoperative complications such as low cardiac output syndrome,acute myocardial infarction,acute kidney injury requiring continuous renal replacement therapy,IABP-side lower extremity ischemia,blood transfusion,stroke and extracorporeal membrane oxygenation support for circulatory failure was noticed(all P ＞ 0.05).Patients in ≥70 years old group showed a higher incidence of newly developed atrial fibrillation than ＜ 70 years old group [55.4％ (31/56) vs 27.6％ (35/127)] (P ＜ 0.001).There was no significant difference of mechanical ventilation time,intensive care unit stay time and mortality between groups(P ＞ 0.05).Conclusion IABP is safe and effective in the elderly undergoing OPCABG.
Keywords：Off-pump coronary artery bypass graftingIntra-aortic balloon pump
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 350-353 )