Saji Yoshiaki, Sakata R
Department of Cardiovascular Surgery, Kyoto University, Kyoto, Japan.
Kyobu Geka. 2009 Jul;62(8 Suppl):688-91.
Intraaortic balloon pumping (IABP) is the most popular circulatory assist device in cardiac surgery. In the development of IABP several modifications have been made. First, reduction in the caliber to 6 Fr is the most important modification of the IABP catheter to relatively small Japanese patients. Second, direct pressure measurement through the tip of the catheter enabled more accurate and real-time assist. Third, a novel balloon pump automatically selects the trigger source, arranges the timing of the IABP inflation/deflation, and detects the arrhythmias. Further development of IABP will bring safer and more reliable hemodynamic management in cardiac surgery.
主动脉内球囊反搏（IABP）是心脏手术中最常用的循环辅助装置。在IABP的发展过程中，进行了多项改进。首先，将导管口径减小至6F是IABP导管针对相对矮小的日本患者所做的最重要改进。其次，通过导管尖端进行直接压力测量可实现更准确、实时的辅助。第三，一种新型球囊泵能自动选择触发源，安排IABP充气/放气的时机，并检测心律失常。IABP的进一步发展将为心脏手术带来更安全、更可靠的血流动力学管理。
