心源性休克
医学
主动脉内球囊反搏
血流动力学
主动脉内球囊反搏
循环系统
心脏病学
休克(循环)
气球
内科学
重症监护医学
心肌梗塞
作者
Ganesh Gajanan,Emmanouil S. Brilakis,Jolanta M. Siller‐Matula,R. Zolty,Poonam Velagapudi
摘要
Cardiogenic shock remains one of the most challenging clinical syndromes in modern medicine. Mechanical support is being increasingly used in the management of cardiogenic shock. Intra-aortic balloon pump (IABP) is one of the earliest and most widely used types of mechanical circulatory support. The device acts by external counterpulsation and uses systolic unloading and diastolic augmentation of aortic pressure to improve hemodynamics. Although IABP provides less hemodynamic support when compared with newer mechanical circulatory support devices, it can still be the mechanical support device of choice in appropriate situations because of its relative simplicity of insertion and removal, need for smaller size vascular access and better safety profile. In this review, we discuss the equipment, procedural and technical aspects, hemodynamic effects, indications, evidence, current status and recent advances in the use of IABP in cardiogenic shock.
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