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
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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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