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Thorac Cardiovasc Surg 1980; 28(6): 428-432
DOI: 10.1055/s-2007-1022445
© Georg Thieme Verlag Stuttgart · New York

Intraaortic Balloon Pumping in Women: Effects of Balloon Size on Survival

C. Beddermann, M. G. McGee, S. A. Turner, G. L. Davis, J. V. Denning, J. C. Norman
  • Cardiovascular Surgical Research Laboratories and Section of Surgery, Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals, and University of Texas Health Science Center, Houston, Texas, USA
Further Information

Publication History

1980

Publication Date:
19 March 2008 (online)

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Summary

Between 1972 and 1978, 429 patients underwent intraaortic balloon pump (IABP) counterpulsation in our Institution. Ninety-six were women (22.4%). The overall mortality was 52.9% for men and 69.8% for women. During 1978, however, the mortality for women decreased to 57.1%, even though they comprised a larger percentage of patients (28.2%) than before. The major indication for IABP support in these women was ischemic myocardial dysfunction resulting in failure to wean from cardiopulmonary bypass (THI hemodynamic Classification C)[*] despite volume expansion and pharmacologic support. Improved results were obtained with the use of larger intraaortic balloons and direct ascending aortic IABP insertion (which allowed use of larger, more effective 30 or 40 ml balloons), combined with delayed sternal closure.

Key words

Intraaortic Balloon Pump - Balloon Size - Survival

1 *CI <1.2 L/min/m2 or SVR > 2100 dynes sec cm-5 and CI < 2.1 L/min/m2.

1 *CI <1.2 L/min/m2 or SVR > 2100 dynes sec cm-5 and CI < 2.1 L/min/m2.