The Clinical Use In Myocardial-Vascular Reconstruction And Study Progress Of Intra-Aortic Balloon Pumping (IABP)

Objective the use of IABP is the most extensive in ventricular assisted device. This text summarizes the new progress and accomplishment in the elinical use and study of IABP, which have made in the last few years. Results Using the method of dividing into groups. Suffering acute myocardial infarction (AMI) patients are divided into four treatment groups: TT only, PTCA only, TT+IABP, PTCA+IABP. The patients who would take CABG or OPCAB operation are divided into group 1 ,which received IABP preoperational 2 hours; group 2 ,which received IABP in operation; group 3 , which received IABP post -operation. The rate of death in each of group was anal sized by using methods of statistics. The essay compared IABP with TIABP, VAUS, PCPS and Aortomyoplasty ect. fn addition, this text also summarizes the using IABP in heart transplanting, the evaluation in pat ients who used IABP after heart operation and the changes in regions myocardial ultrasonic backscatter during IABP, ect. Conclusion IABP can provide circulation assistant for the higher risked patients, make them have the chance to accept cardiac revascularization; IABP is a selection to those who have contraindications with VADS during waiting for heart transplanting; The function of left ventricular is the most important aspect to the prognosis of those patients who have taken cardiac operations. While low cardiac output syndrome(LCDS) multiple systemic organ failure(MSOF), high serum lactate serum level before IABP and high doses of inotropic drugs(dobutamine, enoximone) are the major causes for patients' death who use IABP.