เวชบันทึกศิริราช Siriraj Medical Bulletin

The Use of Intra-Aortic

Balloon Pump: IABP

Abstract

In recent decades, tremendous advances have been achieved in intensive care of patients with cardiogenic shock; however,

mortality and morbidity from resultant multiple organ failure remain high. Intra-aortic balloon pump has been the most widely used

equipment among mechanical circulatory support devices to help patients stabilize hemodynamics and recover from cardiogenic

shock from various etiologies for over half of the century. This device enhances organs and coronary perfusion pressure, reduces left

ventricular afterload, and increases the cardiac output by working in synchronization with the cardiac cycle and aortic valve mechanic.

In this article, we will highlight the principle of counterpulsation, the recent innovation, which has been greatly developed, including

hardware and software, current roles, the latest evidence, technical details of the device usage and patient care, weaning guideline,

safe removal, and potential complications of the said device. The distinctive use of an extracorporeal membrane oxygenator in com-

parison with and conjunction with intra-aortic balloon therapy will also be discussed. To help patients stabilize hemodynamics and

recover from critical cardiogenic shock or ischemia-reperfusion injury during the cardiac intervention, detailed knowledge is essential

for the medical team to establish the position of the counterpulsation device in this high-risk patient subgroup.

Keywords: Intra-aortic balloon counterpulsation; intra-aortic balloon pump

Teerapong Tocharoenchok*, Pichej Lerdpunnapongse**

*Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, ** Cardiology

Center Chulabhorn Chalermprakiet Medical Center Chulabhorn hospital, Thailand.

Correspondence to: Teerapong Tocharoenchok E-mail: teerapong.toc@mahidol.ac.th

Received: 11 August 2020 Revised: 27 October 2020 Accepted: 4 November 2020

http://dx.doi.org/10.33192/Simedbull.2021.04

Siriraj Medical Bulletin 2021;14(1):19-29

บทความทั่วไป Review Articles





 



















 















 















 

























 

 

**สาขาวิชาศัลยศาสตร์หัวใจและทรวงอก ภาควิชาศัลยศาสตร์ คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล,

**ศูนย์หัวใจและหลอดเลือด ศูนย์การแพทย์จุฬาภรณ์เฉลิมพระเกียรติ โรงพยาบาลจุฬาภรณ์

เวชบันทึกศิริราช Siriraj Medical Bulletin









6





 











 

































บทความทั่วไป Review Articles





 























 









1,8,9

 









เวชบันทึกศิริราช Siriraj Medical Bulletin

 













































































































   

บทความทั่วไป Review Articles

 

















 









 





 



































 











 





 







 

















 













 















เวชบันทึกศิริราช Siriraj Medical Bulletin

24,25



































































 IABP ECMO







































บทความทั่วไป Review Articles

 

 



 























































































 















เวชบันทึกศิริราช Siriraj Medical Bulletin







 

 









 

























 





บทความทั่วไป Review Articles

 











 

























8,9

 



















 





















 

















 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

เวชบันทึกศิริราช Siriraj Medical Bulletin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 