Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation
Hemodynamic support may be desirable for selected patients with high risk characteristics undergoing elective coronary angioplasty. Twenty-eight high risk patients were studied with elective intraaortic balloon pump support over a recent 30 month period. Their mean age was 66 years; 10 patients were...
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| Veröffentlicht in: | Journal of the American College of Cardiology 1990-04, Vol.15 (5), p.1151-1155 |
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| container_title | Journal of the American College of Cardiology |
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| creator | Kahn, Joel K. Rutherford, Barry D. McConahay, David R. Johnson, Warren L. Giorgi, Lee V. Hartzler, Geoffrey O. |
| description | Hemodynamic support may be desirable for selected patients with high risk characteristics undergoing elective coronary angioplasty. Twenty-eight high risk patients were studied with elective intraaortic balloon pump support over a recent 30 month period. Their mean age was 66 years; 10 patients were ≥70 years old. Class III or IV angina was present in 23 patients (82%). The mean left ventricular ejection fraction was 24% (range 15% to 50%) and was |
| doi_str_mv | 10.1016/0735-1097(90)90257-P |
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Ninety (96%) of 94 attempts to dilate stenoses were successful, including multivessel angioplasty in 21 patients (75%) and five left main coronary artery dilations. Decreases in systolic blood pressure to ≤70 mm Hg occurred in 11 patients (39%), but augmented diastolic pressure was ≥90 mm Hg at all times. No deaths or myocardial infarctions occurred within 72 h of coronary angioplasty. Vascular complications requiring surgical repair occurred in three patients who had good operative results and no need for transfusions.
Thus, intraaortic balloon pump support in patients with high risk features undergoing elective coronary angioplasty appears effective and relatively benign, although definite benefit cannot be proved without a randomized study. Newer techniques, such as in-laboratory cardiopulmonary bypass, must be compared with the results obtained with intraaortic balloon pump support alone.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/0735-1097(90)90257-P</identifier><identifier>PMID: 2312972</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - methods ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Angiography ; Coronary heart disease ; Counterpulsation - methods ; Female ; Heart ; Humans ; Intra-Aortic Balloon Pumping - methods ; Male ; Medical sciences ; Middle Aged ; Risk</subject><ispartof>Journal of the American College of Cardiology, 1990-04, Vol.15 (5), p.1151-1155</ispartof><rights>1990</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-a6487c946f2c9f7f8a5d010555b2b02b8a14d813bdebb43e435ec89ca5c3901e3</citedby><cites>FETCH-LOGICAL-c387t-a6487c946f2c9f7f8a5d010555b2b02b8a14d813bdebb43e435ec89ca5c3901e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0735-1097(90)90257-P$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19741684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2312972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kahn, Joel K.</creatorcontrib><creatorcontrib>Rutherford, Barry D.</creatorcontrib><creatorcontrib>McConahay, David R.</creatorcontrib><creatorcontrib>Johnson, Warren L.</creatorcontrib><creatorcontrib>Giorgi, Lee V.</creatorcontrib><creatorcontrib>Hartzler, Geoffrey O.</creatorcontrib><title>Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Hemodynamic support may be desirable for selected patients with high risk characteristics undergoing elective coronary angioplasty. Twenty-eight high risk patients were studied with elective intraaortic balloon pump support over a recent 30 month period. Their mean age was 66 years; 10 patients were ≥70 years old. Class III or IV angina was present in 23 patients (82%). The mean left ventricular ejection fraction was 24% (range 15% to 50%) and was <30% in 25 patients (89%). Three vessel disease was present in 26 patients (93%) and 7 patients had significant left main coronary artery disease.
Ninety (96%) of 94 attempts to dilate stenoses were successful, including multivessel angioplasty in 21 patients (75%) and five left main coronary artery dilations. Decreases in systolic blood pressure to ≤70 mm Hg occurred in 11 patients (39%), but augmented diastolic pressure was ≥90 mm Hg at all times. No deaths or myocardial infarctions occurred within 72 h of coronary angioplasty. Vascular complications requiring surgical repair occurred in three patients who had good operative results and no need for transfusions.
Thus, intraaortic balloon pump support in patients with high risk features undergoing elective coronary angioplasty appears effective and relatively benign, although definite benefit cannot be proved without a randomized study. Newer techniques, such as in-laboratory cardiopulmonary bypass, must be compared with the results obtained with intraaortic balloon pump support alone.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary heart disease</subject><subject>Counterpulsation - methods</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Intra-Aortic Balloon Pumping - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Risk</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3DAQhq0KtGwpb1CkXKjgkNaO7di-IKEVBSSkIrW9YjnOZNdt1g52Umlv-yDwcjxJs-wKbpzmMN__a-ZD6DPBXwkm5TcsKM8JVuJU4TOFCy7yuw9oSjiXOeVK7KHpK3KAPqb0B2NcSqImaFJQUihRTNH9z6HrQuyhzp7Xjws3X2TRpb_P66fMhhi8iavM-LkLXWtSv8qG5Pw8c76PxowxZ7PKtG0IPuuGZTdmBt9D7IY2md4F_wntN6ZNcLSbh-j398tfs-v89sfVzeziNrdUij43JZPCKlY2hVWNaKThNSaYc14VFS4qaQirJaFVDVXFKDDKwUplDbdUYQL0EH3Z9nYxPAyQer10yULbGg9hSFqosmSCyRFkW9DGkFKERnfRLccvNcF6o1VvnOmNM62wftGq78bY8a5_qJZQv4Z2Hsf9yW5vkjVtE423Lr11K8FIKdnInW85GGX8cxB1sg68hdpFsL2ug3v_kP8Gjpgq</recordid><startdate>19900401</startdate><enddate>19900401</enddate><creator>Kahn, Joel K.</creator><creator>Rutherford, Barry D.</creator><creator>McConahay, David R.</creator><creator>Johnson, Warren L.</creator><creator>Giorgi, Lee V.</creator><creator>Hartzler, Geoffrey O.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19900401</creationdate><title>Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation</title><author>Kahn, Joel K. ; Rutherford, Barry D. ; McConahay, David R. ; Johnson, Warren L. ; Giorgi, Lee V. ; Hartzler, Geoffrey O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-a6487c946f2c9f7f8a5d010555b2b02b8a14d813bdebb43e435ec89ca5c3901e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Angiography</topic><topic>Coronary heart disease</topic><topic>Counterpulsation - methods</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Intra-Aortic Balloon Pumping - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kahn, Joel K.</creatorcontrib><creatorcontrib>Rutherford, Barry D.</creatorcontrib><creatorcontrib>McConahay, David R.</creatorcontrib><creatorcontrib>Johnson, Warren L.</creatorcontrib><creatorcontrib>Giorgi, Lee V.</creatorcontrib><creatorcontrib>Hartzler, Geoffrey O.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kahn, Joel K.</au><au>Rutherford, Barry D.</au><au>McConahay, David R.</au><au>Johnson, Warren L.</au><au>Giorgi, Lee V.</au><au>Hartzler, Geoffrey O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>1990-04-01</date><risdate>1990</risdate><volume>15</volume><issue>5</issue><spage>1151</spage><epage>1155</epage><pages>1151-1155</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>Hemodynamic support may be desirable for selected patients with high risk characteristics undergoing elective coronary angioplasty. Twenty-eight high risk patients were studied with elective intraaortic balloon pump support over a recent 30 month period. Their mean age was 66 years; 10 patients were ≥70 years old. Class III or IV angina was present in 23 patients (82%). The mean left ventricular ejection fraction was 24% (range 15% to 50%) and was <30% in 25 patients (89%). Three vessel disease was present in 26 patients (93%) and 7 patients had significant left main coronary artery disease.
Ninety (96%) of 94 attempts to dilate stenoses were successful, including multivessel angioplasty in 21 patients (75%) and five left main coronary artery dilations. Decreases in systolic blood pressure to ≤70 mm Hg occurred in 11 patients (39%), but augmented diastolic pressure was ≥90 mm Hg at all times. No deaths or myocardial infarctions occurred within 72 h of coronary angioplasty. Vascular complications requiring surgical repair occurred in three patients who had good operative results and no need for transfusions.
Thus, intraaortic balloon pump support in patients with high risk features undergoing elective coronary angioplasty appears effective and relatively benign, although definite benefit cannot be proved without a randomized study. Newer techniques, such as in-laboratory cardiopulmonary bypass, must be compared with the results obtained with intraaortic balloon pump support alone.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2312972</pmid><doi>10.1016/0735-1097(90)90257-P</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - methods Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary heart disease Counterpulsation - methods Female Heart Humans Intra-Aortic Balloon Pumping - methods Male Medical sciences Middle Aged Risk |
| title | Supported “high risk” coronary angioplasty using intraaortic balloon pump counterpulsation |
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