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Intra-aortic balloon counter-pulsation 

Intra-aortic balloon counter-pulsation
Chapter:
Intra-aortic balloon counter-pulsation
Author(s):

A Rosenberg

DOI:
10.1093/med/9780199209101.003.20
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date: 07 August 2020

Principles 288

Indications and contraindications 289

Placement 290

Management 292

Further reading 296

An intra-aortic balloon pump (IABP) is a catheter-mounted, helium-filled, polyethylene balloon that is typically inserted via a femoral artery into the descending aorta just below the left subclavian artery. Placement of an IABP is among the most established and expeditious means to mechanically support inadequate cardiac output or coronary perfusion resulting from acute or chronic conditions when preload, contractility, and afterload have been optimally managed. When fluids, pharmacologic treatments, and exclusion of other causes of low cardiac output (distributive and obstructive causes, i.e. sepsis, tamponade, tension pneumothorax etc.) have been achieved, IABPs accomplish the following:...

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