The role of the intra-aortic balloon pump counterpulsation (IABP) in emergency surgery

A L Khan, M Flett, S Yalamarthi, R R Jeffrey, A K Ah-See, K G M Park, R A Keenan

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    8 Citations (Scopus)

    Abstract

    Elective surgical procedures are often delayed for up to six months in patients who have suffered a myocardial infarction (MI) because of the substantial risk of re-infarction and high peri-operative mortality. The optimal management of patients who have sustained a recent myocardial infarction and who require an emergency abdominal operation, however, has yet to be defined. The use of an intra-aortic balloon pump (IABP) may play a role in such patients by improving the function of the injured heart. Three cases are presented in which IABP was used in patients who had recently sustained a myocardial infarction and who required emergency abdominal surgery. A review of the literature is presented and the application of IABP in such circumstances is discussed. Although clinical experience is limited, the use of the IABP may be useful in selected patients who have sustained a recent MI and who require emergency surgery.

    Original languageEnglish
    Pages (from-to)279-282
    Number of pages4
    JournalThe Surgeon
    Volume1
    Issue number5
    Publication statusPublished - Oct 2003

    Keywords

    • emergency abdominal surgery
    • myocardial infarction
    • intra-aortic balloon pump
    • risk cardiac patients
    • coronary-artery disease
    • noncardiac surgery
    • myocardial-infarction
    • anesthesia
    • management
    • placement

    Cite this

    Khan, A. L., Flett, M., Yalamarthi, S., Jeffrey, R. R., Ah-See, A. K., Park, K. G. M., & Keenan, R. A. (2003). The role of the intra-aortic balloon pump counterpulsation (IABP) in emergency surgery. The Surgeon, 1(5), 279-282.