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Clinical impact of intra-aortic balloon pump during extracorporeal life support in patients with acute myocardial infarction complicated by cardiogenic shock.

Authors :
Taek Kyu Park
Jeong Hoon Yang
Seung-Hyuk Choi
Young Bin Song
Joo-Yong Hahn
Jin-Ho Choi
Kiick Sung
Young Tak Lee
Hyeon-Cheol Gwon
Source :
BMC Anesthesiology. 2014, Vol. 14 Issue 1, p72-84. 13p.
Publication Year :
2014

Abstract

Background There is no available data on clinical outcome in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock who are supported by an intra-aortic balloon pump (IABP) in combination with extracorporeal life support (ECLS). Methods We analysed 96 consecutive patients with AMI and complicating cardiogenic shock who were assisted by an ECLS system between January 2004 and December 2011. The primary outcome was in-hospital mortality. The secondary outcomes were the success rate of weaning from ECLS and the lactate clearance for 48 hours (%). Results A combination of IABP and ECLS was used in 41 (42.7%) patients. In-hospital mortality occurred for 51 patients (ECLS with IABP versus ECLS alone; 51.2% vs. 54.5%, p = 0.747). The success rate of weaning from ECLS was similar between the two groups (63.4% vs. 58.2%, p = 0.604). Complications such as ischemia of a lower extremity or bleeding at the ECLS insertion site (p = 0.521 and p = 0.667, respectively) did not increase when ECLS was combined with IABP. Among patients who survived for 24 hours after intervention, lactate clearance was not significantly different between patients who received ECLS alone and those who received ECLS with IABP (p = 0.918). Conclusions The combined use of ECLS and IABP did not improve in-hospital survival in patients with AMI complicated by cardiogenic shock. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712253
Volume :
14
Issue :
1
Database :
Academic Search Index
Journal :
BMC Anesthesiology
Publication Type :
Academic Journal
Accession number :
95709056
Full Text :
https://doi.org/10.1186/1471-2253-14-27