Reinsertion Predictors of Intraaortic Balloon Pumps


  • Celalettin Gunay
  • Faruk Cingoz
  • Selim Kilic
  • Erkan Kuralay



The reinsertion rate of intraaortic balloon pumps (IABP) has not been clearly reported. We evaluated the use of left-ventricular ejection fraction (LVEF), fractional shortening (FS), and cardiac index (CI) values to asses cardiac performance as weaning criteria for IABP in a prospective study performed in 100 patients who required IABP. Patients were randomly divided into 2 groups of 50 patients. In group 1, classical hemodynamic criteria were considered as weaning criteria of IABP. In this group, IABPs were removed when measurements of general hemodynamic criteria were established to be in normal ranges. In group 2, LVEF, FS, and CI values reflecting cardiac performance were used to monitor patients under IABP support, and IABPs were removed when LVEF, FS, and CI values reached >30%, >20%, and >2.4 L/min per m2, respectively. Reinsertion of IABP was necessary in 13 patients in group 1 and in 9 patients in group 2 (P = .48). Vascular complications were the main cause of reinsertion of IABP in 7 and 9 patients in group 1 and group 2, respectively (P = .59). Nine patients died in group 1 and 2 in group 2 (P = .025). In group 1, death due to myocardial dysfunction occurred in 8 of 13 patients (62%) who had required reinsertion of IABP; 6 of these patients required reinsertion of IABP because of hemodynamic deterioration, whereas no patients in group 2 required reinsertion of IABP because of hemodynamic deterioration (P = .027). LVEF, FS, and CI values higher than 30% (P = .008), 20% (P = .005), and 2.4 L/min per m2 (P = .013), respectively, showed good outcomes in regard to avoiding reinsertion of IABP, indicating that these measurements were significant predictors for reinsertion of IABP.


Alderman JD, Gabliani GI, McCabe CH, et al. 1987. Incidence and management of limb ischemia with percutaneous wire-guided intra-aortic balloon catheters. J Am Coll Cardiol 9:524-30.nBusch T, Sirbu H, Zenker D, Dalichau H. 1997. Vascular complications related to intraaortic balloon counterpulsation: an analysis of ten years experience. Thorac Cardiovasc Surg 45:55-9.nFerguson JJ, Cohen M, Freedman RJ, et al. 2001. The current practice of intra-aortic balloon counterpulsation: results from the benchmark registry. J Am Coll Cardiol 38:1456-62.nFunk M, Gleason J, Foell D. 1989. Lower limb ischemia related to use of the intra-aortic balloon pump. Heart Lung 18:542-52.nGol MK, Bayazit M, Emir M, Tasdemir O, Bayazit K. 1994. Vascular complication related to percutaneous insertion of intra-aortic balloon pumps. Ann Thorac Surg 58:1476-80.nGottlieb SO, Brinker JA, Borkon AM, et al. 1984. Identification of patients at high risk for complications of intra-aortic balloon counter pulsation: a multivariate risk factor analysis. Am J Cardiol 53:1135-9.nIverson LI, Herfindahl G, Ecker RR, et al. 1987. Vascular complications of intra-aortic balloon counterpulsation. Am J Surg 154:99-103.nKern MJ, Aguirre FV, Caracciolo EA, et al. 1999. Hemodynamic effects of new intra aortic balloon counterpulsation timing methods in patents multicenter evaluation. Am Heart J 137:1129-36.nLorusso R, La Canna G, Ceconi C, et al. 2001. Long-term results of coronary artery bypass grafting procedure in the presence of left ventricular dysfunction and hibernating myocardium. Eur J Cardiothorac Surg 20; 937-48.nMakhaul RG, Cole CW, McCann RL. 1993. Vascular complications of the intra-aortic balloon pump: an analysis of 436 patients. Am Surg 59:564-8.nPatel JJ, Kopistansky C, Boston B, et al. 1995. Prospective evaluation of complications associated with percutaneous intra-aortic balloon counterpulsation. Am J Cardiol 76:1205-7.nTatar H, Cicek S, Demirkilic U, et al. 1993. Vascular complication of intra-aortic balloon pumping: unsheathed versus sheathed insertion. Ann Thorac Surg 55:1518-21.nTull D, Albawn GS. 1973. Survey research: a decisional approach. Appendix 1. New York: IntexPres Inc. pp 225-38.n



How to Cite

Gunay, C., Cingoz, F., Kilic, S., & Kuralay, E. (2007). Reinsertion Predictors of Intraaortic Balloon Pumps. The Heart Surgery Forum, 10(6), E463-E467.




Most read articles by the same author(s)