DOI: 10.36347/sjams.2015.v03i06.049

Pages: 2388-2392

The use of prophylactic intra-aortic balloon pump (IABP) in off pump coronary artery surgery (OPCAB) debated and not well established. The aim of this study is to evaluate whether prophylactic IABP improves the early outcome in hemodynamically stable, high-risk patients undergoing coronary artery bypass grafting (CABG). From January 2013 to March 2014, 80 high risk patients underwent CABG. Of these 45 received prophylactic IABP. The remaining 35 patients underwent operation without preoperative insertion of the device. Results of the study shows that patients in the IABP group had a significantly shorter duration of IABP support (18.9 ±5.9 vs. 46.7±8.9 hours, p < 0.0001), shorter duration of inotropic drug treatment (28.9 ± 8.6 vs. 68.6 ± 6.5 hours, p < 0.0001), shorter duration of mechanical ventilation (13.4 ± 6.4 vs. 29.8 ± 8.2 hours, p < 0.0001), shorter length of intensive care unit stay (41.5 ± 7.8 vs. 111.6 ± 15.9 hours, p<0.0001. This study shows that prophylactic IABP treatment for hemodynamically stable highrisk patients undergoing CABG may improve postoperative course.