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Thorac Cardiovasc Surg 2015; 63(S 02): S131-S196
DOI: 10.1055/s-0034-1395942
Georg Thieme Verlag KG Stuttgart · New York

S3-Leitlinie „Einsatz der intraaortalen Ballongegenpulsation in der Herzchirurgie“[†]

unter Federführung der Deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie (DGTHG)
Kevin Pilarczyk   *
1   Universitätsklinikum Essen, Westdeutsches Herzzentrum Essen, Klinik für Thorax- und kardiovaskuläre Chirurgie
,
Adrian Bauer
2   MediClin Herzzentrum Coswig, Abteilung für Kardiotechnik
,
Andreas Boening
3   Universitätsklinikum Gießen und Marburg GmbH, Klinik für Herz-, Kinderherz- und Gefäßchirurgie, Standort Gießen
,
Michael von der Brelie
4   Christian-Albrechts Universität zu Kiel, Klinik für Herz- und Gefäßchirurgie
,
Ingolf Eichler
5   Klinikum Dortmund gGmbH, Klinik Herzchirurgie
,
Bernard Gohrbandt
6   Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik und Poliklinik für Herz-, Thorax- und Gefäßchirurgie
,
Heinrich Volker Groesdonk
7   Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie. Universitätsklinikum des Saarlandes
,
Nils Haake
4   Christian-Albrechts Universität zu Kiel, Klinik für Herz- und Gefäßchirurgie
,
Matthias Heringlake
8   Universität zu Lübeck, Klinik für Anästhesiologie und Intensivmedizin
,
Georg Langebartels
9   Uniklinik Köln, Klinik für Herz- und Thoraxchirurgie
,
Andreas Markewitz
10   Bundeswehrzentralkrankenhaus Koblenz, Klinik für Herz-und Gefäßchirurgie
,
Holger Thiele
11   Universität Leipzig – Herzzentrum, Klinik für Innere Medizin/Kardiologie
,
Georg Trummer
12   Universitäts-Herzzentrum Freiburg/Bad Krozingen, Klinik für Herz- und Gefäßchirurgie
,
Günter Marggraf   *
1   Universitätsklinikum Essen, Westdeutsches Herzzentrum Essen, Klinik für Thorax- und kardiovaskuläre Chirurgie
› Author Affiliations
Further Information

Publication History

Publication Date:
14 January 2015 (online)

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Abstract

Although intra-aortic balloon pumping (IABP) is the most frequently used mechanical cardiac assist device in cardiothoracic surgery, there are only guidelines for substantive sections of aortic counterpulsation including prophylactic and postoperative use. In contrast, evidence-based recommendations are still lacking concerning intraoperative use, management, contraindication and other relevant issues.

According to international surveys, important aspects of IABP usage show a wide variation in clinical practice. The results of a national questionnaire performed before initiation of this guideline confirmed these findings and demonstrated a clear need for the development of a consensus-based guideline.

Therefore, the presented multidisciplinary S-3-guideline was developed under the direction of the German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG) to make evidence-based recommendations for the usage of aortic counterpulsation after cardiothoracic surgery according to the requirements of the Association of the Scientific Medical Societies in Germany (AWMF) and the Medical Centre for Quality (Ärztliches Zentrum für Qualität – (ÄZQ)).

Main topics discussed in this guideline involve IABP support in the prophylactic, preoperative, intraoperative and postoperative setting as well as the treatment of right heart failure, contraindications, anticoagulation, monitoring, weaning, and limitations of IABP therapy. The presented 15 key messages of the guideline were approved after two consensus meetings under moderation of the AWMF with participation of the German Society of Cardiology (DGK), German Society of Anaesthesiology and Intensive Care Medicine (DGAI), German Interdisciplinary Association for Intensive Care (DIVI) and the German Society for Cardiovascular Engineering (DGfK).

Keywords

cardiothoracic surgery - IABP

† unter Mitwirkung der folgenden Medizinisch-Wissenschaftlichen Fachgesellschaften:

† Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e.V. (DGAI),

† Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI),

† Deutsche Gesellschaft für Kardiotechnik e.V (DGfK),

† Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung e.V. (DGK)


* Leitlinienkoordinatoren


 

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    • 5.1 Literaturverzeichnis Addendum

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