Indications and Limitations of IABP Support for Acute Cardiac Failure after Artificial Valve Replacement.

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  • Hirano Akio
    Second Department Surgery, Kurume University School of Medicine
  • Hisatomi Kouichi
    Second Department Surgery, Kurume University School of Medicine
  • Tayama Eiki
    Second Department Surgery, Kurume University School of Medicine
  • Ohhashi Masanori
    Second Department Surgery, Kurume University School of Medicine
  • Isomura Tadashi
    Second Department Surgery, Kurume University School of Medicine
  • Kosuga Kenichi
    Second Department Surgery, Kurume University School of Medicine
  • Ohishi Kiroku
    Second Department Surgery, Kurume University School of Medicine

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Other Title
  • 人工弁置換術後急性心不全に対するＩＡＢＰの適応　ＩＡＢＰ離脱可能症例とその限界について
  • IABP離脱可能症例とその限界について

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We evaluated the indications and limitations of IABP support for weaning for pump and postoperative heart failure after artificial valve replacement. Driving IABP as cardiac support in cases of acute cardiac failure during and after operation, it is most effective for transient cardiac failure-associated coronary artery spasms during and post operation, but it is not effective and is indeed limited for patients who need long term extracorporeal circulation because of operative technical failure, insufficient cardioplegia and delayed right ventricular failure after operation. The latter groups, in which IABP is insufficiently effective need additional assist devices such as V-A bypass and ventricular assist device (VAD).

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