Metz, D. and Stiller, M. and Silber, R. -E. and Kroll, H. and Hofmann, H. -S. and Diez, C. (2011) Prophylactic intraaortic balloon pumping in high-risk cardiac surgery patients. MEDIZINISCHE KLINIK, 106 (2). pp. 125-131. ISSN 0723-5003,
Full text not available from this repository. (Request a copy)Abstract
Background. We examined the impact of prophylactic IABP insertion in EuroSCORE-stratified high-risk cardiac surgery patients with a score >= 8. Material and methods. A randomized trial with 104 patients either without prophylactic IABP insertion (group A, n=52) or with IABP (group B, n=52) was conducted. The primary endpoint was 30-day mortality. Results. The median age of the patients was 74 years and 43% of participants were females. The 30-day mortality did not differ between group A (17.3%) and group B (13.4%; p=0.78). The median hospital stay was 14 days in both groups. Intra-and postoperative IABP support was required by 13 patients (21%) in group A. The median ventilation time (14 hours versus 13 hours), median catecholamine dose, frequency of dialysis-dependent acute renal failure (28% versus 18%), cardiac indices, and frequency of a low cardiac output syndrome (26% versus 25%) did not significantly differ between groups. Conclusion. Prophylactic preoperative IABP insertion in EuroSCORE-stratified high-risk patients is not associated with decreased 30-day mortality.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ACUTE MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK; CORONARY-PATIENTS; COUNTERPULSATION; SUPPORT; METAANALYSIS; PERFORMANCE; EXPERIENCE; EUROSCORE; Intraaortic balloon pumping; Cardiac surgery; EuroSCORE; Mortality; Prophylaxis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Abteilung für Thoraxchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 May 2020 09:08 |
| Last Modified: | 28 May 2020 09:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20046 |
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