Characteristics, morbidity and mortality factors associated with Intra-Aortic Balloon Pump in Coronary Artery Bypass Graft Surgery patients

  • Sayed Mumtaz Anwar Shah Doctor
  • Azam Jan
  • Nabil I Awan
  • Mujeeb Ur Rehman Doctor
Keywords: Ejection Fraction, Cardiac Surgery, Coronary Artery Bypass Grafting, Intra-Aortic Balloon Pump, Mortality, Post-op Stroke, Post-op prolonged ICU stay, Post-op prolonged Ventilation

Abstract

Objective: The aim of our study is to analyze the characteristics, morbidity and mortality of patients requiring an Intra-Aortic Balloon Pump (IABP) in Coronary Artery Bypass Grafting (CABG).

Methods: An analysis was done on the prospectively collected data of 1216 patients who had CABG in our center between July, 2017 and May, 2019 at our hospital. We categorized patients in to an IABP and non-IABP group on the basis of IABP use. We then compared the pre-operative, per-operative and post-operative characteristics of the two groups. We further stratified the patients according to pre-op ejection fraction (EF).

Results: Out of 1216 patients, 135(11.10%) patients required an IABP. 70(51.9%) patients of IABP group and 699(64.7%) patients of non-IABP group had hypertension (p-value 0.0036). 23.0% had previous myocardial infarction (MI) in the IABP group and 13.8% had prior myocardial infarction (MI) in non-IABP group (p-value 0.0463). Among the patients requiring an IABP, 21(15.5%) of patients had normal EF (>50%) (P-value<0.0001), 72 (53.3%) had EF 35-50%, and 41(30.3%) patients had EF<35% (p-value <0.0001). Mortality of IABP group (19.3%) was greater than non-IABP group (2.4%) (P-value 0.00001).

Conclusions: Use of IABP increased as the EF decreased. Rate of post-operative stroke, prolonged ICU stay, prolonged ventilation, re-opening due to bleeding and mortality was seen to be significantly higher in the IABP group.

doi: https://doi.org/10.12669/pjms.36.6.2649

How to cite this:
Shah SMA, Awan NI, Jan A, Rehman MU. Characteristics, morbidity and mortality factors associated with Intra-Aortic Balloon Pump in Coronary Artery Bypass Graft Surgery patients. Pak J Med Sci. 2020;36(6):1318-1324.  doi: https://doi.org/10.12669/pjms.36.6.2649

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Sayed Mumtaz Anwar Shah, Doctor

respected sir, the principal author is Dr. Mumtaz Anwar Shah and i Mujeeb ur Rehman will be only  responsible and accountable for the accuracy or integrity of the work.

Mujeeb Ur Rehman, Doctor

Correspondence:

Dr. Mujeeb Ur Rehman

Senior Medical Officer,

Cardio-Thoracic & Vascular Surgery

Rehman Medical Institute

Hayatabad, Peshawar.

Email: Dr.mujeebdawar45@gmail.com

Cell: +92-330-5869134 

I wll be responsible and accountable for the accuracy or integrity of the work.

Published
2020-08-20
How to Cite
Shah, S. M., Jan, A., Awan, N., & Rehman, M. (2020). Characteristics, morbidity and mortality factors associated with Intra-Aortic Balloon Pump in Coronary Artery Bypass Graft Surgery patients. Pakistan Journal of Medical Sciences, 36(6). https://doi.org/10.12669/pjms.36.6.2649
Section
Original Articles