Use of Intra-Aortic Balloon Pump During Coronary Artery Bypass Graft
Surgery. Current Questions and Few Answers.
The intra-aortic balloon pump (IABP) is used to prevent complications
after coronary artery bypass grafting (CABG) surgery; although some
results are controversial nowadays even contradictory. A new article on
this field is published in this edition and shows that the risk factors
for in-hospital mortality are the preoperative plasma creatinine level
and cardiopulmonary bypass time in 177 patients. About the prophylactic
use of the IABP regarding mortality the results reflected so far in
meta-analyses have been highly contradictory between them, and the risk
factors associated with it have been several and different. This lack of
evidence has resulted in the continued variation of IABP use in these
procedures. A large, multicenter RCT is certainly required to take the
next step towards more definitive evidence, either for or against, the
use of IABP in high-risk CABG. Until then, the unanswered questions
regarding this topic will remain.