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Application of Intra Aortic Balloon Pump in High-Risk Non-Cardiac Surgeries
*Amir A. Rahnemai-Azar, *Zargham H. Ahmadi, *Rozhin Naghshizadian, Brian F. Gilchrist
Bronx-Lebanon Hospital, Albert Einstein College of Medicine, New York City, NY

Objective: The intra-aortic balloon pump (IABP) is a mechanical device used to assist cardiac circulatory function in patients suffering from cardiogenic shock, congestive heart failure, refractory angina and complications of myocardial infarction. Major non-cardiac surgeries are associated with high rates of cardiac complications in patients with advanced coronary disease. While IABP use in cardiac surgery is well established, there are few studies on the utility of IABP support in high-risk cardiac patients undergoing non-cardiac surgery. Recent case studies have reported favorable outcomes with use of IABP support in this group of patients.
Design: Case series.
Setting: Referral Institutional practice.
Patients: Four cases of IABP use in high-risk cardiac patients undergoing tracheal surgery.
Main outcome measure (s): Advantage of IABP application in high-risk non-cardiac surgeries.
Results: IABP was inserted prior to induction of anesthesia in four of the cases. In all the cases where IABP support was utilized, it was removed between 6-48 hours postoperatively with no complications.
Conclusion: High-risk cardiac patients, who are not candidates for preoperative revascularization, benefitted from prophylactic insertion of IABP before major non-cardiac surgery.

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Back to 2014 Annual Meeting Posters