The intra-aortic balloon pump: a modern practical perspective.

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2025-08-01 Epub Date: 2025-05-16 DOI:10.1097/MCC.0000000000001283

Luca Baldetti, Lorenzo Cianfanelli, Anna Mara Scandroglio

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引用次数: 0

Abstract

Purpose of review: After more than 50 years from its invention, the intra-aortic balloon pump (IABP) is still one of the most widely used mechanical circulatory support devices to treat cardiogenic shock (CS). This review aims to describe the role of IABP in current clinical practice.

Recent findings: In recent years the better understanding of the variable hemodynamic profiles that characterize the CS condition has led to a reappraisal of the IABP role in select CS phenotypes. Combining a "mechanical" afterload reduction with an increase in mean arterial pressure, this device appears particularly suited to treat acute decompensated heart failure-CS and the mechanical complications of an acute myocardial infarction, as these conditions would greatly benefit from systemic afterload reduction. Notwithstanding the negative results of IABP support for acute myocardial infarction-related CS, this document reviews other potential established and emerging settings of application.

Summary: In this scoping review, we discuss the IABP design and hemodynamic effects, with a pathophysiology-oriented outlook to its clinical use. Different options for IABP device insertion, potential complications, and optimal device synchronization with cardiac cycle are also summarized with the aim to provide an updated, pragmatic guide to critical care physicians using these devices.

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主动脉内球囊泵：现代实用视角。

回顾目的：主动脉内球囊泵（IABP）在发明50多年后，仍然是治疗心源性休克（CS）应用最广泛的机械循环支持装置之一。这篇综述旨在描述IABP在当前临床实践中的作用。最近的发现：近年来，对表征CS条件的可变血流动力学特征的更好理解导致了对IABP在选择CS表型中的作用的重新评估。将“机械性”后负荷降低与平均动脉压升高相结合，该装置似乎特别适用于治疗急性失代偿性心力衰竭（cs）和急性心肌梗死的机械性并发症，因为这些情况将从全身后负荷降低中受益匪浅。尽管IABP支持急性心肌梗死相关CS的负面结果，但本文回顾了其他潜在的已建立和新兴的应用环境。摘要：在这篇综述中，我们讨论了IABP的设计和血流动力学作用，并从病理生理学的角度展望了其临床应用。本文还总结了IABP装置插入的不同选择、潜在的并发症以及与心脏周期同步的最佳装置，目的是为使用这些装置的重症监护医生提供最新的实用指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.