Kantrowitz A, Cardona R R, Freed P S
Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan.
Crit Care Clin. 1992 Oct;8(4):819-37.
Intra-aortic balloon pumping is the mainstay in the management of acute left ventricular dysfunction in the critical care setting. Percutaneous insertion affords rapid initiation of the procedure. Complications are in greatest part vascular and infectious. The advent of new-generation, totally automatic, closed-loop IABP systems offers the prospect of increasing the effectiveness of IABP support under most conditions, and especially during arrhythmias. This and other developments suggest that despite its standing as the most widely used temporary cardiac assist device, IABP has still to realize its full therapeutic potential.
主动脉内球囊反搏是重症监护环境中急性左心室功能障碍管理的主要手段。经皮插入可使该操作迅速启动。并发症主要是血管性和感染性的。新一代全自动化闭环主动脉内球囊反搏系统的出现，为在大多数情况下，尤其是心律失常期间提高主动脉内球囊反搏支持的有效性带来了希望。这一进展及其他发展表明，尽管主动脉内球囊反搏作为应用最广泛的临时心脏辅助装置，但仍未充分发挥其治疗潜力。
