Intraaortic balloon pump counterpulsation
- Roger J Laham, MD
Roger J Laham, MD
- Associate Professor of Medicine
- Harvard Medical School
- Julian M Aroesty, MD
Julian M Aroesty, MD
- Clinical Associate Professor of Medicine
- Harvard Medical School
- Section Editors
- Bernard J Gersh, MB, ChB, DPhil, FRCP, MACC
Bernard J Gersh, MB, ChB, DPhil, FRCP, MACC
- Editor-in-Chief — Cardiovascular Medicine
- Section Editor — Coronary Heart Disease; Myopericardial Disease
- Professor of Medicine
- Mayo Clinic College of Medicine
- Donald Cutlip, MD
Donald Cutlip, MD
- Section Editor — Interventional Cardiology
- Professor of Medicine
- Harvard Medical School
- Beth Israel Deaconess Medical Center
Intraaortic balloon pump counterpulsation (IABP) is one type of mechanical hemodynamic support, and it has emerged as the single most widely used circulatory assist device.
The basic principles regarding use of the IABP are presented here. Its efficacy in different clinical conditions is discussed on the appropriate topic reviews. Use of other circulatory assist devices, the cardiopulmonary assist device and the left ventricular assist device, is discussed elsewhere. (See "Short-term mechanical circulatory assist devices".)
The intraaortic balloon counterpulsation system is composed of two principal parts:
●A flexible catheter with one lumen that allows for either distal aspiration/flushing or pressure monitoring and a second that permits the periodic delivery and removal of helium gas to a closed balloon. The balloons are manufactured in sizes between 20 and 50 cc.
●A mobile console that contains the system for helium transfer as well as computer control of the inflation and deflation cycle.
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- TECHNICAL ASPECTS
- HEMODYNAMIC EFFECTS
- Effects on coronary artery blood flow
- Refractory myocardial ischemia
- Cardiogenic shock
- High-risk PCI
- Primary PCI for acute MI
- Refractory ventricular arrhythmias
- Refractory heart failure
- Other potential uses
- Recommendations of others
- DURATION OF USE
- Factors increasing IABP complications
- Factors decreasing IABP complications
- Routine care
- SUMMARY AND RECOMMENDATIONS