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Báo cáo y học: "The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. | Parissis et al. Journal of Cardiothoracic Surgery 2010 5 20 http www.cardiothoracicsurgery.Org content 5 1 20 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access The need for intra aortic balloon pump support following open heart surgery risk analysis and outcome I II .ì Hrsc PíiricciOr. lAHíìo I orstcicũclic2 T .I ir iddr ĂLHsìr3 A rsrsctcdsì Lie4 riirnitri c rSr ii Iddoic4 Hdldldbos rdlissis IvliLhdel Leotsinidis IVIUIldlinndU Iduqeei Akbdl Eistldtios Apostoldkis Dimitlios Dougenis Abstract Background The edrly dnd intermedidte outcome of pdtients requiring intrddortic bdlloon pump IABP wds studied in d cohort of 2697 ddult cdrdidc surgicdl pdtients. Methods 136 pdtients requiring IABP 5.04 support dndlysed over d 4 yedr period. Prospective ddtd collection obtdined. Results The overdll operative mortdlity wds 35.3 . The operation specific mortdlity wds higher on the Vdlve populdtion. The mortdlity ds per time of bdlloon insertion wds Preoperdtive 18.2 Intrdopedrtive 33.3 postoperative 58.3 p 0.05 . The incrementdl risk fdctors for dedth were Femdle gender Odds Rdtio OR 3.87 with Confidence Intervdls CI 1.3-11.6 Smoking OR 4.88 CI 1.23- 19.37 Preoperdtive Credtinine 120 OR 3.3 CI 1.14-9.7 Cross Cldmp time 80 min OR 4.16 CI 1.73-9.98 dnd IABP insertion postoperdtively OR 19.19 CI 3.16-116.47 . The incrementdl risk fdctors for the development of complicdtions were Poor EF OR 3.16 CI 0.87-11.52 Euroscore 7 OR 2.99 CI 1.14-7.88 history of PVD OR 4.99 CI 1.32-18.86 . The 5 yedrs survivdl wds 79.2 for the CABG populdtion dnd 71.5 for the vdlve group. HdZdrd ratio 1.78 CI 0.92-3.46 . Conclusions IABP represents d sdfe option of supporting the fdiling hedrt. The need for IABP especidlly in d high risk Vdlve populdtion is dssocidted with edrly unfdvourdble outcome however the positive mid term results further justify its use. Background Intra-aortic balloon pump IABP is the most usable tool of temporary mechanical circulatory support for cardiac surgical .