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Interact CardioVasc Thorac Surg 2009;9:294-295. doi:10.1510/icvts.2008.196105A
© 2009 European Association of Cardio-Thoracic Surgery

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Konstantin V. Shatalov
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eComment

eComment: Re: Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting: a propensity score analysis

Leo A. Bockeria, Konstantin V. Shatalov, Irina V. Arnautova and Maxim M. Makhalin

Bakoulev Center for Cardiovascular Surgery,121552 Moscow, Russia

Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting: a propensity score analysis

Intra-aortic balloon pump (IABP) application in postcardiotomy heart failure prevention before and after surgery is a well-known method. Even though, a huge worldwide experience of this procedure is already collected this study is still relevant [1]. According to the experience of leading cardiac surgical hospitals IABP preventive administration significantly decreases the danger of postcardiotomy heart failure appearance. Therefore, early stabilization of hemodynamic parameters in high-risk patients after cardiopulmonary bypass grafting allows shortening of the in-hospital stay time [2, 3]. This fact was also approved by results of another study [1]. IABP introduction during surgery or during early postoperative period has no positive impact on the patient's hemodynamics and does not diminish the risk of postsurgical myocardial infarction development. This leads to increasing inhospital stay time.

We want to congratulate the team of authors on achieving good results in their study. These results could help to improve clinical results in the future and allow a more rational and efficient use of IABP.


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  1. Miceli A, Fiorani B, Hinna Danesi T, Melina G, Sinatra R. Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting: a propensity score analysis. Interact CardioVasc Thorac Surg 2009;9:291–295.[Abstract/Free Full Text]
  2. Kang N, Edwards M, Larbalestier R. Preoperative intraaortic balloon pumps in high-risk patients undergoing open heart surgery. Ann Thorac Surg 2001;72:54–57.[Abstract/Free Full Text]
  3. Christenson JT, Simonet F, Badel P, Schmuziger M. Optimal timing of preoperative intraaortic balloon pumps support in high-risk coronary patients. Ann Thorac Surg 1999;68:934–939.[Abstract/Free Full Text]

Related Article

Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting: a propensity score analysis
Antonio Miceli, Brenno Fiorani, Tommaso Hinna Danesi, Giovanni Melina, and Riccardo Sinatra
Interactive CardioVascular and Thoracic Surgery 2009 9: 291-294. [Abstract] [Full Text] [PDF]




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Leo A. Bockeria
Konstantin V. Shatalov
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Right arrow Articles by Makhalin, M. M.
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