TY - JOUR ID - 3492 TI - The Evaluation of Survival in Patients Who Need Intra Aortic Balloon Pump (IABP) after Cardiac Surgery JO - Journal of Cardio-Thoracic Medicine JA - JCTM LA - en SN - 2345-2447 AU - Mottahedi, Behrooz AU - esfehanizadeh, Jamil AU - Alizadeh, Kambiz AU - Abbasi Shaye, Zahra AD - Cardiac Surgeon , Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Resident of community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Y1 - 2014 PY - 2014 VL - 2 IS - 4 SP - 227 EP - 230 KW - Coronary Artery Surgery KW - Intra-aortic balloon pump KW - Survival rate DO - 10.22038/jctm.2014.3492 N2 - Introduction: Insome cases, assist devices are required to ensure an adequate cardiac output after cardiac surgery. Intra-aortic balloon pump (IABP) is the most commonly used cardiac assist device, which provides first-line support for patients with heart failure. The aim of this study was to determine factors affecting the mortality rate of patients receiving IABP. Materials & Methods:  In this retrospective cohort study 235 patients requiring LABP support were analyzed over 14 years period (between January 1999 and December 2013) from which 137 patients survived the 30 days follow-up. Perioperative and demographic factors such as age, weight, underlying disease, ejection fraction, ventricular aneurysm and cardiopulmonary bypass and cross clamp time were recorded and analyzed.   Results: The overall operative mortality was reported to be 41.7%. Male-to-female ratio was 131:104 and the mean age of the subjects was 57.58 ± 11.07 years. Early mortality rate was higher among young subjects and those with prolonged CBP (162.71±35.25, P<0.001) and ACC (129.94±54.39, P<0.001). In addition, mortality rate was higher among females (P=0.04). Patients’ weight, comorbidity, preoperative ejection fraction, ventricular aneurysm and stenosis of the left main coronary did not affect the mortality rate (P>0.05). Conclusion: IABP is a simple, effective method for temporary cardiac support, especially for aged patients. In addition, lower duration of surgery is associated with better surgical outcomes. UR - https://jctm.mums.ac.ir/article_3492.html L1 - https://jctm.mums.ac.ir/article_3492_e76b891854a0ebd84e7232bbd2d82542.pdf ER -