Academic Journal
Intra-aortic balloon pump (IABP) counterpulsation improves cerebral perfusion in patients with decreased left ventricular function
| العنوان: | Intra-aortic balloon pump (IABP) counterpulsation improves cerebral perfusion in patients with decreased left ventricular function |
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| المؤلفون: | Pfluecke, C., Christoph, M., Kolschmann, S., Tarnowski, D., Forkmann, M., Jellinghaus, S., Poitz, D. M., Wunderlich, C., Strasser, R. H., Schoen, S., Ibrahim, K. |
| Publication Status: | publishedVersion |
| بيانات النشر: | Sage, 2014. |
| سنة النشر: | 2014 |
| المجموعة: | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Original Material: | urn:nbn:de:bsz:14-qucosa2-353642 |
| مصطلحات موضوعية: | cerebral blood flow, cardiogenic shock, IABP, heart failure, cerebral perfusion, intra-aortic balloon counterpulsation, zerebraler Blutfluss, kardiogener Schock, IABP, Herzinsuffizienz, zerebrale Perfusion, intraaortale Ballongegenpulsation, info:eu-repo/classification/ddc/610, ddc:610 |
| الوصف: | Background: The current goal of treatment after acute ischemic stroke is the increase of cerebral blood flow (CBF) in ischemic brain tissue. Intra-aortic balloon pump (IABP) counterpulsation in the setting of cardiogenic shock is able to reduce left ventricular afterload and increase coronary blood flow. The effects of an IABP on CBF have not been sufficiently examined. We hypothesize that the use of an IABP especially enhances cerebral blood flow in patients with pre-existing heart failure. Methods: In this pilot study, 36 subjects were examined to investigate the effect of an IABP on middle cerebral artery (MCA) transcranial Doppler (TCD) flow velocity change and relative CBF augmentation by determining velocity time integral changes (ΔVTI) in a constant caliber of the MCA compared to a baseline measurement without an IABP. Subjects were divided into two groups according to their left ventricular ejection fraction (LVEF): Group 1 LVEF >30% and Group 2 LVEF ≤30%. Results: Both groups showed an increase in CBF using an IABP. Patients with a LVEF ≤30% showed a significantly higher increase of ΔVTI in the MCA under IABP augmentation compared to patients with a LVEF >30% (20.9% ± 3.9% Group 2 vs.10.5% ± 2.2% Group 1, p |
| Original Identifier: | oai:qucosa:de:qucosa:35364 |
| نوع الوثيقة: | Article |
| اللغة: | English |
| تدمد: | 1477-111X |
| DOI: | 10.1177/0267659114525218 |
| الاتاحة: | https://tud.qucosa.de/id/qucosa%3A35364 https://tud.qucosa.de/api/qucosa%3A35364/attachment/ATT-0/ |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsndl.DRESDEN.oai.qucosa.de.qucosa.35364 |
| قاعدة البيانات: | Networked Digital Library of Theses & Dissertations |
| تدمد: | 1477111X |
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| DOI: | 10.1177/0267659114525218 |