Ambulatory intraaortic balloon pump use as bridge to heart transplant

Richard P Cochran; Thomas D Starkey; Anthony L Panos; Karyn S Kunzelman

doi:10.1016/S0003-4975(02)03808-0

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Ambulatory intraaortic balloon pump use as bridge to heart transplant

Journal article

Open access

Peer reviewed

Ambulatory intraaortic balloon pump use as bridge to heart transplant

Richard P Cochran, Thomas D Starkey, Anthony L Panos and Karyn S Kunzelman

The Annals of thoracic surgery, Vol.74(3), pp.746-751

09/2002

DOI: 10.1016/S0003-4975(02)03808-0

PMID: 12238834

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Abstract

This study evaluates a modification of an ambulatory intraaortic balloon pump (IABP) technique used in patients with heart failure of ischemic origin for bridge to transplant. In this retrospective review we evaluated the ability to place the ambulatory IABP, any complications, time on device, and success in bridging to transplant on the ambulatory IABP device. In addition, the cost as compared to current ventricular assist devices was determined. Between July 2000 and November 2001, 4 patients have been managed with ambulatory IABP in our combined University of Wisconsin and William S. Middleton Veterans Administration programs. All 4 patients had ischemia as their mode of heart failure, and each had a relative contraindication to standard ventricular assist device use. All 4 patients had ambulatory IABPs successfully placed through the left axillary artery without complication, and were able to ambulate early after ambulatory IABP placement, and increased their rehabilitation status before transplantation. Ambulatory IABP support ranged from 12 to 70 days. All 4 patients have been successfully transplanted and discharged from the hospital. Use of the ambulatory IABP support, even with multiple replacements, translated to 10- to 50-fold savings for each of the reported patients versus standard ventricular assist device use. As a result of our initial experience, we believe that ambulatory IABP is an excellent mode of support in selected patients, and is cost-effective, as compared to conventional ventricular assist device therapy.

Heart Failure - surgery

United States

Humans

Middle Aged

Heart Failure - physiopathology

Stroke Volume - physiology

Male

Heart-Assist Devices - economics

Intra-Aortic Balloon Pumping - economics

Hemodynamics - physiology

Equipment Design

Cost Savings

Heart Transplantation - physiology

Female

Waiting Lists

Ambulatory Care - economics

Intra-Aortic Balloon Pumping - instrumentation

Early Ambulation

Heart Failure - economics

Reoperation - economics

Heart Transplantation - economics

Details

Title: Subtitle: Ambulatory intraaortic balloon pump use as bridge to heart transplant
Creators: Richard P Cochran - Division of Cardiothoracic Surgery, University of Wisconsin, Madison 53792-3236, USA. cochran@surgery.wisc.edu
Thomas D Starkey
Anthony L Panos
Karyn S Kunzelman
Resource Type: Journal article
Publication Details: The Annals of thoracic surgery, Vol.74(3), pp.746-751
DOI: 10.1016/S0003-4975(02)03808-0
PMID: 12238834
NLM abbreviation: Ann Thorac Surg
ISSN: 0003-4975
eISSN: 1552-6259
Publisher: Netherlands
Language: English
Date published: 09/2002
Academic Unit: Surgery; Cardiothoracic Surgery
Record Identifier: 9984051580002771

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