WITH INTRA-AORTIC BALLON PUMP AT THE CARDIAC SURGERY IN SARAJEVO
.E. Đonlić, V. Velebit, J. Maurice, I. Pezo, S. Straus, F.
Kučukalić, S. Pandur, M. Kulić, E. Mujičić, H. Vila and I.
Surgery Clinic, Clinical Center University of Sarajevo, Bosnia
The intra-aortic ballon pump (IABP) has been proven
as useful adjunct to inotropic therapy in high risk patients after
myocardial infarction, angioplasty or cardiac surgery. We are
describing our experience with the mechanical assistance to the
left ventricle. 369 patients were operated at our Clinic between
October 1998 and March 2001. IABP was used in 8 patients (2,16%).
In all patients it was placed through the femoral artery. For
7 patients (1,89%) it was necessary to assist in weaning from
the extracorporal circulation and for haemodynamic instability
after the surgery. In one case it was used preoperatively for
a high risk coronary patient (EF=18%) who had had pulmonary oedema
24 hours prior to CABG operation. Before introducing the IABP,
maximal pharmacological support had been started. In all cases
IABP was kept for next 2 to 45 hours.
Results: Two patients died on the IABP.
Six patients recovered and they were discharged between 6 and
23 days (including the patient with preoperatively introduced
IABP). There were no complications, vascular trauma or thrombosis.
Conclusion: IABP is effective support in
difficult peri-operative situations in cardiac surgery. It is
easy and quick to apply and it has low complication rate .