ANMCO POSITION PAPER: Role of intra-aortic balloon pump in patients with acute advanced heart failure and cardiogenic shock

Author:

Rossini Roberta1,Valente Serafina2,Colivicchi Furio3,Baldi Cesare4,Caldarola Pasquale5,Chiappetta Daniela6,Cipriani Manlio7,Ferlini Marco8,Gasparetto Nicola9,Gilardi Rossella10,Giubilato Simona11,Imazio Massimo12,Marini Marco13,Roncon Loris14,Scotto di Uccio Fortunato15,Somaschini Alberto16,Sorini Dini Carlotta17,Trambaiolo Paolo18,Usmiani Tullio12,Gulizia Michele Massimo1920,Gabrielli Domenico21

Affiliation:

1. Division of Cardiology, Emergency Department and Critical Areas, Azienda Ospedaliera Santa Croce e Carle, Via Michele Coppino 26, 12100 Cuneo, Italy

2. Clinical-Surgical-CCU Cardiology Department, Azienda Ospedaliero-Universitaria Senese Ospedale Santa Maria alle Scotte, Siena, Italy

3. Clinical and Rehabilitation Cardiology Department, Presidio Ospedaliero San Filippo Neri—, ASL Roma 1, Roma, Italy

4. Interventional Cardiology-Cath Lab Department, Azienda Ospedaliera Universitaria San Giovanni di Dio-Ruggi d’Aragona, Salerno, Italy

5. Cardiology-CCU Department, Ospedale San Paolo, Bari, Italy

6. Division of Cardiology, Ospedale Annunziata, Cosenza, Italy

7. Cardiology 2-Heart Failure and Transplants, Dipartimento Cardiotoracovascolare “A. De Gasperis”, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy

8. Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

9. Division of Cardiology, Ospedale Ca’ Foncello, Treviso, Italy

10. Department of Cardiac Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy

11. Cardiology-CCU –Cath Lab Department, Azienda Ospedaliera Cannizzaro, Catania, Italy

12. Division of Cardiology, Presidio Molinette, A.O.U. Città della Salute e della Scienza di Torino, Torino, Italy

13. Cardiology-CCU –Cath Lab Department, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona, Italy

14. U.O.C. Cardiologia, Ospedale Santa Maria della Misericordia, Rovigo, Italy

15. Cardiologia-UTIC-Emodinamica, Ospedale del Mare, Napoli, Italy

16. Department of Cardiology and Cardiac Intensive Care Unit, Ospedale San Paolo, Savona, Italy

17. Cardiology-CCU -Department, Ospedali Riuniti, Livorno, Italy

18. Cardiology-ICU Department, Presidio Ospedaliero Sandro Pertini, Roma, Italy

19. Cardiology Department, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione “Garibaldi”, Catania, Italy

20. Fondazione per il Tuo cuore—Heart Care Foundation, Firenze, Italy

21. Cardiology Unit, Cardiotoracovascular Department, Azienda Ospedaliera San Camillo Forlanini, Roma, Italy

Abstract

Abstract The treatment of patients with advanced acute heart failure is still challenging. Intra-aortic balloon pump (IABP) has widely been used in the management of patients with cardiogenic shock. However, according to international guidelines, its routinary use in patients with cardiogenic shock is not recommended. This recommendation is derived from the results of the IABP-SHOCK II trial, which demonstrated that IABP does not reduce all-cause mortality in patients with acute myocardial infarction and cardiogenic shock. The present position paper, released by the Italian Association of Hospital Cardiologists, reviews the available data derived from clinical studies. It also provides practical recommendations for the optimal use of IABP in the treatment of cardiogenic shock and advanced acute heart failure.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

Reference75 articles.

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2. Experimental augmentation of coronary flow by retardation of the arterial pressure pulse;Kantrowitz;Surgery,1952

3. Assisted circulation. I. The arterial counterpulsator;Clauss;J Thorac Cardiovasc Surg,1961

4. Diastolic balloon pumping (with carbon dioxide) in the aorta – a mechanical assistance to the failing circulation;Moulopoulos;Am Heart J,1962

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