Open AccessBalloon Pump Counterpulsation Part II: Perioperative Hemodynamic Support and New Directions
Author(s) -
Laura S. González,
Mark A. Chaney
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004999
Subject(s) - cardiogenic shock , medicine , circulatory system , perioperative , shock (circulatory) , balloon , hemodynamics , cardiology , intensive care medicine , intra aortic balloon pump , intra aortic balloon pumping , surgery , myocardial infarction
Intraaortic balloon pump (IABP) counterpulsation, introduced more than 50 years ago, remains the most commonly utilized mechanical circulatory support device for patients with cardiogenic shock and myocardial ischemia, despite lack of definitive proof regarding its outcome in these patients. Part I of this review focused on the history of counterpulsation, physiologic principles, technical considerations, and evidence for its use in cardiogenic shock; Part II will discuss periprocedural uses for IABP counterpulsation and review advances in technology, including the emergence of alternative mechanical circulatory support devices that have influenced IABP utilization.