Cardiovascular revascularization medicine : including molecular interventions
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Cardiovasc Revasc Med · Apr 2014
Outcomes among patients requiring unplanned intra-aortic balloon pump reinsertion in cardiogenic shock.
The intra-aortic balloon pump (IABP) is the most frequently utilized form of temporary mechanical circulatory support (MCS) in cardiogenic shock (CS). Withdrawal of IABP support may precipitate hemodynamic compromise such that IABP reinsertion is required. Data are scarce regarding the incidence and outcomes of patients undergoing IABP reinsertion in this setting. ⋯ Among patients with CS undergoing IABP removal, hemodynamic deterioration requiring IABP reinsertion is associated with extremely poor outcomes and, in appropriate patients, should prompt consideration of more advanced cardiac support.