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《Chinese Circulation Journal》 2015-02
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Clinical Application of Intra-aortic Balloon Pump in Patients With Acute Coronary Syndrome

CUI Jin-gang;WU Yuan;ZHAO Dong-yun;ZHANG Yan-juan;YANG Yan-min;YUAN Jian-song;LI Jia;QIAO Shu-bin;YANG Yue-jin;Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC;  
Objective: To assess the clinical application of intra-aortic balloon pump(IABP) in patients with acute coronary syndrome(ACS) for their treatment and complications.Methods: A total of 238 ACS patients treated in our hospital from 2011-01 to 2012-12 were studied. There were 159 patients with STEMI, 30 with non-STEMI and 49 with unstable pectoris angina. The clinical information was collected to analyze IABP efficacy and post-IABP platelet deduction, bleeding, fever and thrombosis in all patients.Results: IABP was applied in all 238 ACS patients. There were 23/238(9.7%) without PCI or CABG surgery, and 118(49.6%) STEMI patients received PCI with IABP support. There were 21/238(8.8%) patients died. And 55(23.1%) suffered from thrombocytopenia, 49(20.6%) were with bleeding, 4(1.7%) with lower limb ischemia. 18 patients had severe thrombocytopenia(platelet 50 × 109/L), 11 of them recovered gradually after IABP removal and 5 of them received platelet supplement therapy. There were 12 patients with fever, who had IABP implantation at the mean of(10.3 ± 7.8) days and 4 of them had positive blood culture.Conclusion: IABP is an important assistant device in high-risk ACS patients. Thrombocytopenia and bleeding are the most common complications in clinical practice.
【CateGory Index】: R541.4
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 MENG Yan-hai;CHANG Qian;WANG Shui-yun;LI Shou-jun;ZHANG Hai-tao;ZHANG Yan-bo;Department of Cardiovascular Surgery,Cardiovascular Institute and Fu Wai Hospital,CAMS and PUMC;;Effect of Prophylactic Application of Intra-aortic Balloon Pump Before Coronary Artery Bypass Grafting for High Risk Patients by Meta-analysis[J];Chinese Circulation Journal;2014-02
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 PAN Ming;BAI Ming;LI Qiang;YAO Su-yu;WANG Shi-jie;MA Chun-xiang;ZHANG Zheng;Department of Cardiology,First Hospital of Lanzhou University;;Pump failure complicating acute myocardial infarction:the use of the intraaortic balloon pump support in emergency interventional procedures[J];Journal of Lanzhou University(Medical Sciences);2013-03
2 HU Fangbin;ZHAO Jie;NIE Yabin;QIAN Jiandong;SUN Caiqin;CHEN Yefang;Department of Cardiology,Jingjiang People′s Hospital;Department of Cardiology,the Third Affilliatd Hospital of Guangzhou Medical College;;Emergent insertion of intra-aortic balloon pump at the bedside[J];Journal of Clinical Cardiology;2014-02
3 WAN Cheng;JIANG Xuejun;YANG Handong;Department of Cardiology,Renmin Hospital Affiliated to Wuhan University;Department of Cardiology,Dongfeng Motor General Hospital Affiliated to Hubei University of Medicine;;Efficacy of IABP on the high-risk PCI:a systematic review-meta analysis[J];Journal of Clinical Cardiology;2014-07
4 ZOU Yun-cheng;L Yun;YANG Feng;Department of Cardiology,Saint Johns Hospital;;Effect of intra-aortic balloon pump on inflammatory factor in elderly AMI patients with cardiogenic shock after PCI[J];Chinese Journal of Geriatric Heart Brain and Vessel Diseases;2014-09
5 Michele Schiariti;Loredana Iannetta;Concetta Torromeo;Michele De Gregorio;Paolo Emilio Puddu;Laboratory of Biotechnologies Applied to Cardiovascular Medicine, Department of Cardiovascular, Respiratory, Nephrological,Anesthesiological and Geriatrical Sciences, Sapienza University of Rome;Department of Medicine, St. Joseph Mercy Oakland Hospital;;Prognostic significance of post percutaneous coronary intervention thrombocytopenia[J];世界荟萃分析杂志(英文版);2014-02
6 Liu Feng;Wan Cai - hong;Zhao Yan - yan;Xing Jia - lin;Miao Na;Du Zhong - tao;Hou Xiao - tong;Department of Extracorporeal Circulation,Center for cardiac intensive care,Beijing Anzhen Hospital,Capital Medical University;;Prophylactic use of intra - aortic balloon pump before off - pump coronary ar tery bypass grafting surgery[J];Chinese Journal of Extracorporeal Circulation;2013-03
7 Xing Jia - lin;Du Zhong - tao;Gong Qing - cheng;Hou Xiao - tong;Department of Extracorporeal Circulation,Center for cardiac intensive care,Beijing Anzhen Hospital,Capital Medical University;;Clinical analasys of complications and accidents in intra - aortic ballon pump therapy[J];Chinese Journal of Extracorporeal Circulation;2013-03
8 YUAN Jin-qing;ZHANG Jia-hui;Department of Cardiology,State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College;;Thrombosis and bleeding[J];Chinese Journal of Practical Internal Medicine;2015-01
9 FENG Chunguang;YANG Xiangjun;Department of Cardiology,Xuzhou Central Hospital,Xuzhou Cardiovascular Disease Institute;Department of Cardiology,The First Affiliated Hospital,Suzhou University;;New Developments in Clinical Use of Intra-aortic Balloon Counterpulsation[J];Advances in Cardiovascular Diseases;2013-06
10 XU Jian-gong;YANG Zeng -zhou;LIU Jing -chun;The 3rd Department of Thoracic Surgery of Anyang Tumor Hospital;Thoracic Surgery of Linzhou People's Hospital;Department Cardiology of Anyang People' s Hospital;;Application of intra- aortic balloon pump in severe left ventricular dysfunction patients undergoing coronary artery bypass grafting[J];Medical Journal of Chinese People's Health;2014-02
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 FANG Qin,ZHANG Yu-hai,GU Tian-xiang,WANG Chun,LU Chun-mao,SHI En-yi.Department of Cardiac Surgery,First Affiliated Hospital of China Medical University,Shenyang(110001),Liaoning,China;Peri-Operative Application of Intra-Aortic Balloon Pump in Cardiac Surgery[J];Chinese Circulation Journal;2010-04
2 DING Wen-jun,WEI Qiang,SUN Yong-xin,SHI Yun-qing,WANG Chun-sheng.(Department of Cardiovascular Surgery,Shanghai Institute of Cardiovascular Diseases,Zhongshan Hospital,Fudan University,Shanghai 200032,P.R.China);Application of Intra-aortic Balloon Pump for High-risk Patients before Off-pump Coronary Artery Bypass Grafting[J];Chinese Journal of Clinical Thoracic and Cardiovascular Surgery;2013-01
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