Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
https://doi.org/10.12737/21480
Abstract
Perioperative acute myocardial dysfunction is an actual problem of cardiac surgery. Rational use of inotropes and mechanical circulatory support in the postoperative period remains a subject of debate. The outcomes of the combined coronary artery bypass grafting and heart valve prosthesis were analyzed in Irkutsk Cardiac Surgery Center after 80 patients were operated on. As a result of the conducted research, authors proposed a method of differentiated approach to the treatment of acute heart failure in the early postoperative period. Failure to escalate therapy beta agonists in the absence of adequate response hemodynamics and the transition to a mechanical circulatory support improves performance of the cardiovascular system and clinical outcomes, reduces hospitalization duration in the department of intensive therapy. The study showed the superiority of an early beginning of an intra-aortic balloon counterpulsation before traditional inotropic therapy in the treatment of postcardiotomy heartfailure at combined cardiac surgery.
About the Authors
Z. Z. Nadiradze
Irkutsk State Medical Academy of Continuing Education
Russian Federation
Russian Federation
A. V. Muravskaya
Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Y. A. Bakhareva
Irkutsk State Medical Academy of Continuing Education
Russian Federation
Russian Federation
A. V. Mikhaylov
Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
References
1. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия - 2013. Болезни и врожденные аномалии системы кровообращения. - М.: НЦССХ им. Бакулева, 2014. - 220 с
2. Гарднер Р.С., МакДонаг Т.А., Уолкер Н.Л. Сердечная недостаточность. - М.: МЕД-пресс-информ, 2014. - 360 с
3. Крымов К.В. Современный взгляд на профилактическую контрпульсацию внутриаортальным баллоном и её роль в лечении больных с тяжёлыми и осложнёнными формами ишемической болезни сердца // Бюл. НЦССХ им. Бакулева РАМН. - 2014. -№ 4 (15). - С. 4-10
4. Надирадзе З.З., Бахарева Ю.А., Надирадзе Т.З., Подкаменный В.А. Анализ факторов риска как показание к применению внутриаортальной баллонной контрпульсации // Материалы докладов XII Российско-Японского медицинского симпозиума. - Красноярск, 2005. - С. 217-218
5. Шумаков В.И., Толпекин В.Е., Шумаков Д.В. Искусственное сердце и вспомогательное кровообращение. - М.: Издательство Янус-К, 2003. - 376 с
6. Яворовский А.Г., Еременко А.А., Зюляева Т.П. Константинов Б.А., Молочников И.О. Превентивная внутриаортальная баллонная контрпульсация при хирургической реваскуляризации миокарда // Хирургия. Журнал им. Н.И. Пирогова. - 2006. - № 1. - С. 4-10
7. Baskett R.J., Ghali W.A., Maitland A. et al. (2002). The intra-aortic balloon pump in cardiac surgery. Ann. Thorac. Surg, 74 (4), 1276-1287.
8. Kantrowitz A., Tjonneland S., Freed P. (1968). Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA, 203 (1), 113-118.
9. Litton E., Delaney A. (2013). Prophylactic intra-aortic balloon counterpulsation in high-risk cardiac surgery: a survey of opinion and current practice. HSR Proc. Intensive Care Cardiovasc. Anesth., 5 (1), 33-39.
10. Moulopoulos S., Topaz S., Kolff W. (1962). Diastolic balloon pumping (with carbon dioxide) in the aorta mechanical assistance to the failing circulation. Am. Heart J., 63 (5), 669-675.
11. Vales L., Kanei Y., Ephrem G., Misra D. (2011). Intra-aortic balloon pump use and outcomes with current therapies. J. Invasive Cardiol, 23 (3), 116-119.
Review
For citations:
Nadiradze Z.Z., Muravskaya A.V., Bakhareva Y.A., Mikhaylov A.V. Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery. Acta Biomedica Scientifica. 2016;1(1):20-25. (In Russ.) https://doi.org/10.12737/21480
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