Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization
Objectives: The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery by...
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| Veröffentlicht in: | Perfusion 2020-03, Vol.35 (2), p.145-153 |
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| creator | Yang, Feng Wang, Liangshan Hou, Dengbang Wang, Jinhong Wang, Xiaomeng Cui, Yongchao Hao, Xing Xing, Zhichen Jiang, Chunjing Du, Zhongtao Yang, Xiaofang Miao, Na Jiang, Yu Xing, Jialin Hou, Xiaotong |
| description | Objectives:
The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting remains unknown. This study aimed to determine the efficacy and safety of the preoperative intra-aortic balloon pump insertion in those patients undergoing off-pump coronary artery bypass grafting.
Methods:
A total of 421 consecutive acute myocardial infarction patients without cardiogenic shock who underwent isolated off-pump coronary artery bypass grafting were enrolled in this retrospective observational propensity score–matched analysis study. Patients who received intra-aortic balloon pump before off-pump coronary artery bypass grafting (the intra-aortic balloon pump group, n = 157) were compared with those who had not (control group, n = 264). The 30-day postoperative survival, postoperative complications, and postoperative hospital length of stay were compared between the two groups.
Results:
A total of 99 pairs of patients were matched. The preoperative intra-aortic balloon pump did not show a 30-day postoperative survival benefit compared with the control group (hazard ratio, 0.9; 95% confidence interval, 0.2-4.2; p = 0.92). Patients with preoperative intra-aortic balloon pump were more likely to have shorter postoperative lengths of stay (8 (6-11) days vs. 10 (6-15) days, p = 0.02) and decreased total days in the hospital (median days: 18.2 vs. 21.8, p = 0.02) compared to patients without balloon pumps.
Conclusion:
Preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting improved convalescence as shown by significantly shorter postoperative lengths of hospital stay. |
| doi_str_mv | 10.1177/0267659119865834 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2269402851</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0267659119865834</sage_id><sourcerecordid>2269402851</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-5fc282bdc7b7c8c417a4f1352d70bf74f929fc1fa5cd45c06f592ca16782f15d3</originalsourceid><addsrcrecordid>eNp1kUuL1jAUhoMozufo3pUE3Lip5tq0SxnGCwzoQsFdSU-TTsY2qbmMjL_Gn2rqNyoMuErI-5wnCS9CTyl5SalSrwhrVSt7SvuulR0X99CBCqUaSumX--iwx82en6BHKV0RQoQQ_CE64ZR3Skh5QD8_RhM2E3V21wY7n6NudIjZAR71soTg8VbWrSbJxGymusEaSjZ4vQmg4-T0Us-sjpDdDleR8Tnh7y5fhpLxbybMxldjugzwFRc_mTgH52ecSpwdVAOEGLyONziaa52gLDq6H3o3PkYPrF6SeXK7nqLPb84_nb1rLj68fX_2-qIB3srcSAusY-MEalTQgaBKC0u5ZJMio1XC9qy3QK2WMAkJpLWyZ6BpqzpmqZz4KXpx9G4xfCsm5WF1CcyyaG9CSQNjbS8I6ySt6PM76FUo0dfXDYxLLhRvFasUOVIQQ0rR2GGLbq1_HCgZ9vaGu-3VkWe34jKuZvo78KeuCjRHIOnZ_Lv1v8Jft76m-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2353473672</pqid></control><display><type>article</type><title>Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Yang, Feng ; Wang, Liangshan ; Hou, Dengbang ; Wang, Jinhong ; Wang, Xiaomeng ; Cui, Yongchao ; Hao, Xing ; Xing, Zhichen ; Jiang, Chunjing ; Du, Zhongtao ; Yang, Xiaofang ; Miao, Na ; Jiang, Yu ; Xing, Jialin ; Hou, Xiaotong</creator><creatorcontrib>Yang, Feng ; Wang, Liangshan ; Hou, Dengbang ; Wang, Jinhong ; Wang, Xiaomeng ; Cui, Yongchao ; Hao, Xing ; Xing, Zhichen ; Jiang, Chunjing ; Du, Zhongtao ; Yang, Xiaofang ; Miao, Na ; Jiang, Yu ; Xing, Jialin ; Hou, Xiaotong</creatorcontrib><description>Objectives:
The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting remains unknown. This study aimed to determine the efficacy and safety of the preoperative intra-aortic balloon pump insertion in those patients undergoing off-pump coronary artery bypass grafting.
Methods:
A total of 421 consecutive acute myocardial infarction patients without cardiogenic shock who underwent isolated off-pump coronary artery bypass grafting were enrolled in this retrospective observational propensity score–matched analysis study. Patients who received intra-aortic balloon pump before off-pump coronary artery bypass grafting (the intra-aortic balloon pump group, n = 157) were compared with those who had not (control group, n = 264). The 30-day postoperative survival, postoperative complications, and postoperative hospital length of stay were compared between the two groups.
Results:
A total of 99 pairs of patients were matched. The preoperative intra-aortic balloon pump did not show a 30-day postoperative survival benefit compared with the control group (hazard ratio, 0.9; 95% confidence interval, 0.2-4.2; p = 0.92). Patients with preoperative intra-aortic balloon pump were more likely to have shorter postoperative lengths of stay (8 (6-11) days vs. 10 (6-15) days, p = 0.02) and decreased total days in the hospital (median days: 18.2 vs. 21.8, p = 0.02) compared to patients without balloon pumps.
Conclusion:
Preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting improved convalescence as shown by significantly shorter postoperative lengths of hospital stay.</description><identifier>ISSN: 0267-6591</identifier><identifier>EISSN: 1477-111X</identifier><identifier>DOI: 10.1177/0267659119865834</identifier><identifier>PMID: 31387455</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Disease ; Aorta ; Balloon treatment ; Complications ; Confidence intervals ; Convalescence ; Coronary artery ; Coronary Artery Bypass - methods ; Coronary vessels ; Electrocardiography ; Female ; Grafting ; Heart attacks ; Heart surgery ; Heart-Assist Devices - standards ; Humans ; Implantation ; Insertion ; Intra-Aortic Balloon Pumping - methods ; Male ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - mortality ; Myocardial Infarction - surgery ; Patients ; Preoperative Care - methods ; Retrospective Studies ; Shock ; Survival ; Survival Analysis</subject><ispartof>Perfusion, 2020-03, Vol.35 (2), p.145-153</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-5fc282bdc7b7c8c417a4f1352d70bf74f929fc1fa5cd45c06f592ca16782f15d3</citedby><cites>FETCH-LOGICAL-c365t-5fc282bdc7b7c8c417a4f1352d70bf74f929fc1fa5cd45c06f592ca16782f15d3</cites><orcidid>0000-0001-9536-7400</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0267659119865834$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0267659119865834$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31387455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Feng</creatorcontrib><creatorcontrib>Wang, Liangshan</creatorcontrib><creatorcontrib>Hou, Dengbang</creatorcontrib><creatorcontrib>Wang, Jinhong</creatorcontrib><creatorcontrib>Wang, Xiaomeng</creatorcontrib><creatorcontrib>Cui, Yongchao</creatorcontrib><creatorcontrib>Hao, Xing</creatorcontrib><creatorcontrib>Xing, Zhichen</creatorcontrib><creatorcontrib>Jiang, Chunjing</creatorcontrib><creatorcontrib>Du, Zhongtao</creatorcontrib><creatorcontrib>Yang, Xiaofang</creatorcontrib><creatorcontrib>Miao, Na</creatorcontrib><creatorcontrib>Jiang, Yu</creatorcontrib><creatorcontrib>Xing, Jialin</creatorcontrib><creatorcontrib>Hou, Xiaotong</creatorcontrib><title>Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization</title><title>Perfusion</title><addtitle>Perfusion</addtitle><description>Objectives:
The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting remains unknown. This study aimed to determine the efficacy and safety of the preoperative intra-aortic balloon pump insertion in those patients undergoing off-pump coronary artery bypass grafting.
Methods:
A total of 421 consecutive acute myocardial infarction patients without cardiogenic shock who underwent isolated off-pump coronary artery bypass grafting were enrolled in this retrospective observational propensity score–matched analysis study. Patients who received intra-aortic balloon pump before off-pump coronary artery bypass grafting (the intra-aortic balloon pump group, n = 157) were compared with those who had not (control group, n = 264). The 30-day postoperative survival, postoperative complications, and postoperative hospital length of stay were compared between the two groups.
Results:
A total of 99 pairs of patients were matched. The preoperative intra-aortic balloon pump did not show a 30-day postoperative survival benefit compared with the control group (hazard ratio, 0.9; 95% confidence interval, 0.2-4.2; p = 0.92). Patients with preoperative intra-aortic balloon pump were more likely to have shorter postoperative lengths of stay (8 (6-11) days vs. 10 (6-15) days, p = 0.02) and decreased total days in the hospital (median days: 18.2 vs. 21.8, p = 0.02) compared to patients without balloon pumps.
Conclusion:
Preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting improved convalescence as shown by significantly shorter postoperative lengths of hospital stay.</description><subject>Acute Disease</subject><subject>Aorta</subject><subject>Balloon treatment</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Convalescence</subject><subject>Coronary artery</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary vessels</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Grafting</subject><subject>Heart attacks</subject><subject>Heart surgery</subject><subject>Heart-Assist Devices - standards</subject><subject>Humans</subject><subject>Implantation</subject><subject>Insertion</subject><subject>Intra-Aortic Balloon Pumping - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - surgery</subject><subject>Patients</subject><subject>Preoperative Care - methods</subject><subject>Retrospective Studies</subject><subject>Shock</subject><subject>Survival</subject><subject>Survival Analysis</subject><issn>0267-6591</issn><issn>1477-111X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUuL1jAUhoMozufo3pUE3Lip5tq0SxnGCwzoQsFdSU-TTsY2qbmMjL_Gn2rqNyoMuErI-5wnCS9CTyl5SalSrwhrVSt7SvuulR0X99CBCqUaSumX--iwx82en6BHKV0RQoQQ_CE64ZR3Skh5QD8_RhM2E3V21wY7n6NudIjZAR71soTg8VbWrSbJxGymusEaSjZ4vQmg4-T0Us-sjpDdDleR8Tnh7y5fhpLxbybMxldjugzwFRc_mTgH52ecSpwdVAOEGLyONziaa52gLDq6H3o3PkYPrF6SeXK7nqLPb84_nb1rLj68fX_2-qIB3srcSAusY-MEalTQgaBKC0u5ZJMio1XC9qy3QK2WMAkJpLWyZ6BpqzpmqZz4KXpx9G4xfCsm5WF1CcyyaG9CSQNjbS8I6ySt6PM76FUo0dfXDYxLLhRvFasUOVIQQ0rR2GGLbq1_HCgZ9vaGu-3VkWe34jKuZvo78KeuCjRHIOnZ_Lv1v8Jft76m-w</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Yang, Feng</creator><creator>Wang, Liangshan</creator><creator>Hou, Dengbang</creator><creator>Wang, Jinhong</creator><creator>Wang, Xiaomeng</creator><creator>Cui, Yongchao</creator><creator>Hao, Xing</creator><creator>Xing, Zhichen</creator><creator>Jiang, Chunjing</creator><creator>Du, Zhongtao</creator><creator>Yang, Xiaofang</creator><creator>Miao, Na</creator><creator>Jiang, Yu</creator><creator>Xing, Jialin</creator><creator>Hou, Xiaotong</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9536-7400</orcidid></search><sort><creationdate>202003</creationdate><title>Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization</title><author>Yang, Feng ; Wang, Liangshan ; Hou, Dengbang ; Wang, Jinhong ; Wang, Xiaomeng ; Cui, Yongchao ; Hao, Xing ; Xing, Zhichen ; Jiang, Chunjing ; Du, Zhongtao ; Yang, Xiaofang ; Miao, Na ; Jiang, Yu ; Xing, Jialin ; Hou, Xiaotong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-5fc282bdc7b7c8c417a4f1352d70bf74f929fc1fa5cd45c06f592ca16782f15d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Disease</topic><topic>Aorta</topic><topic>Balloon treatment</topic><topic>Complications</topic><topic>Confidence intervals</topic><topic>Convalescence</topic><topic>Coronary artery</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary vessels</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Grafting</topic><topic>Heart attacks</topic><topic>Heart surgery</topic><topic>Heart-Assist Devices - standards</topic><topic>Humans</topic><topic>Implantation</topic><topic>Insertion</topic><topic>Intra-Aortic Balloon Pumping - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - surgery</topic><topic>Patients</topic><topic>Preoperative Care - methods</topic><topic>Retrospective Studies</topic><topic>Shock</topic><topic>Survival</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Feng</creatorcontrib><creatorcontrib>Wang, Liangshan</creatorcontrib><creatorcontrib>Hou, Dengbang</creatorcontrib><creatorcontrib>Wang, Jinhong</creatorcontrib><creatorcontrib>Wang, Xiaomeng</creatorcontrib><creatorcontrib>Cui, Yongchao</creatorcontrib><creatorcontrib>Hao, Xing</creatorcontrib><creatorcontrib>Xing, Zhichen</creatorcontrib><creatorcontrib>Jiang, Chunjing</creatorcontrib><creatorcontrib>Du, Zhongtao</creatorcontrib><creatorcontrib>Yang, Xiaofang</creatorcontrib><creatorcontrib>Miao, Na</creatorcontrib><creatorcontrib>Jiang, Yu</creatorcontrib><creatorcontrib>Xing, Jialin</creatorcontrib><creatorcontrib>Hou, Xiaotong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Perfusion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Feng</au><au>Wang, Liangshan</au><au>Hou, Dengbang</au><au>Wang, Jinhong</au><au>Wang, Xiaomeng</au><au>Cui, Yongchao</au><au>Hao, Xing</au><au>Xing, Zhichen</au><au>Jiang, Chunjing</au><au>Du, Zhongtao</au><au>Yang, Xiaofang</au><au>Miao, Na</au><au>Jiang, Yu</au><au>Xing, Jialin</au><au>Hou, Xiaotong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization</atitle><jtitle>Perfusion</jtitle><addtitle>Perfusion</addtitle><date>2020-03</date><risdate>2020</risdate><volume>35</volume><issue>2</issue><spage>145</spage><epage>153</epage><pages>145-153</pages><issn>0267-6591</issn><eissn>1477-111X</eissn><abstract>Objectives:
The benefit of preoperative intra-aortic balloon pump implantation in high-risk cardiac surgery patients is still debated. The role of preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting remains unknown. This study aimed to determine the efficacy and safety of the preoperative intra-aortic balloon pump insertion in those patients undergoing off-pump coronary artery bypass grafting.
Methods:
A total of 421 consecutive acute myocardial infarction patients without cardiogenic shock who underwent isolated off-pump coronary artery bypass grafting were enrolled in this retrospective observational propensity score–matched analysis study. Patients who received intra-aortic balloon pump before off-pump coronary artery bypass grafting (the intra-aortic balloon pump group, n = 157) were compared with those who had not (control group, n = 264). The 30-day postoperative survival, postoperative complications, and postoperative hospital length of stay were compared between the two groups.
Results:
A total of 99 pairs of patients were matched. The preoperative intra-aortic balloon pump did not show a 30-day postoperative survival benefit compared with the control group (hazard ratio, 0.9; 95% confidence interval, 0.2-4.2; p = 0.92). Patients with preoperative intra-aortic balloon pump were more likely to have shorter postoperative lengths of stay (8 (6-11) days vs. 10 (6-15) days, p = 0.02) and decreased total days in the hospital (median days: 18.2 vs. 21.8, p = 0.02) compared to patients without balloon pumps.
Conclusion:
Preoperative intra-aortic balloon pump insertion in acute myocardial infarction patients without cardiogenic shock undergoing off-pump coronary artery bypass grafting improved convalescence as shown by significantly shorter postoperative lengths of hospital stay.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31387455</pmid><doi>10.1177/0267659119865834</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9536-7400</orcidid></addata></record> |
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| subjects | Acute Disease Aorta Balloon treatment Complications Confidence intervals Convalescence Coronary artery Coronary Artery Bypass - methods Coronary vessels Electrocardiography Female Grafting Heart attacks Heart surgery Heart-Assist Devices - standards Humans Implantation Insertion Intra-Aortic Balloon Pumping - methods Male Middle Aged Myocardial infarction Myocardial Infarction - mortality Myocardial Infarction - surgery Patients Preoperative Care - methods Retrospective Studies Shock Survival Survival Analysis |
| title | Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization |
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