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Preoperative intra-aortic balloon pump inserted in acute myocardial infarction patients without cardiogenic shock undergoing surgical coronary revascularization.
- Source :
-
Perfusion . Mar2020, Vol. 35 Issue 2, p145-153. 9p. 1 Diagram, 2 Charts, 2 Graphs. - Publication Year :
- 2020
-
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 FROM AUTHOR]
- Subjects :
- *CORONARY artery surgery
*CARDIOGENIC shock
*CHI-squared test
*CLINICAL trials
*CONFIDENCE intervals
*CORONARY artery bypass
*FISHER exact test
*LEFT heart ventricle
*HEART physiology
*LENGTH of stay in hospitals
*INTRA-aortic balloon counterpulsation
*MYOCARDIAL infarction
*SCIENTIFIC observation
*PATIENTS
*PATIENT safety
*POSTOPERATIVE period
*RESEARCH funding
*SURGERY
*SURGICAL complications
*OPERATIVE surgery
*SURVIVAL
*T-test (Statistics)
*LOGISTIC regression analysis
*TREATMENT effectiveness
*PROPORTIONAL hazards models
*RETROSPECTIVE studies
*PREOPERATIVE period
*REVASCULARIZATION (Surgery)
*DATA analysis software
*DESCRIPTIVE statistics
*KAPLAN-Meier estimator
*LOG-rank test
*MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 02676591
- Volume :
- 35
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Perfusion
- Publication Type :
- Academic Journal
- Accession number :
- 141696936
- Full Text :
- https://doi.org/10.1177/0267659119865834