Current results with intraaortic balloon pumping in infants and children.
Publication/Presentation Date
3-1-2002
Abstract
BACKGROUND: Intraaortic balloon pumping (IABP) is useful for support in patients with moderate left ventricular dysfunction. IABP is usually timed with the R wave of the electrocardiogram. We have utilized M-mode echocardiography timed IABP in children with left-side heart failure since 1994. Electrocardiogram timing seems inappropriate for children, who have much higher heart rates. We describe our experience with children who underwent IABP therapy before and after 1994, when echocardiographic timing was instituted.
METHODS: We reviewed records of 29 children who underwent IABP for all indications at Primary Children's Medical Center since 1988.
RESULTS: Overall survival was 62.1% (18 of 29) in this series. Survival was similar for infants (odds ratio = 2.0, 95% confidence interval = 0.29 to 14.31, p = 0.43) and older children. Survival was similar in the echocardiography era when compared with the electrocardiogram era (odds ratio = 2.4, 95% confidence interval = 0.56 to 10.4, p = 0.44).
CONCLUSIONS: IABP is a useful means of support in children with left ventricular dysfunction. M-mode echocardiography is effective in triggering IABP. The sample size in this study is too small to detect a mortality rate difference.
Volume
73
Issue
3
First Page
887
Last Page
891
ISSN
0003-4975
Published In/Presented At
Pinkney, K. A., Minich, L. L., Tani, L. Y., Di, R., Veasy, L. G., McGough, E. C., & Hawkins, J. A. (2002). Current results with intraaortic balloon pumping in infants and children. The Annals of thoracic surgery, 73(3), 887–891. https://doi.org/10.1016/s0003-4975(01)03563-9
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
11899196
Department(s)
Department of Pediatrics
Document Type
Article