The IABP procedure is used to deliver blood to the heart when a blood vessel, especially near the coronary artery, is blocked. This procedure involves using a balloon catheter that has two lumens: one for gas exchange from the console to the balloon and another for guiding the catheter and monitoring aortic pressure.
What Is the Intra-Aortic Balloon Pump Procedure?
During the intra-aortic balloon pump procedure, the IABP heart pump may be implanted. Typically, known anesthesia is given before catheterization. This tool can be inserted in the cath lab, and you might receive a relaxant and local anesthetic to ease the process.
For the IABP placement, the doctor creates a small incision inside the thigh if the balloon catheter is inserted through the leg. The balloon and catheter are positioned in the artery, often guided by X-ray. This setup, including a guiding cable, ensures precise placement during the IABP procedure.
The catheter’s other end connects to a PC console to control the balloon's inflation and deflation. Maintaining leg stillness is crucial to avoid movement of the catheter.
When the heart pumps, the balloon contracts, helping blood circulate throughout the body. When the heart relaxes, the balloon expands, retaining more blood in the heart and enhancing blood flow, improving cardiac function.
The intra-aortic balloon pump uses this cardiology device as a precautionary measure, often chosen before a final operation.
Setting Up the IABP Procedure
Before the intra-aortic balloon pump procedure, a detailed patient history is required to identify any medical issues, anesthesia complications, infection symptoms, or pregnancy. Vital signs are monitored throughout the surgery.
Your doctor will explain the procedure, and you should discuss any concerns. Avoid eating or drinking the night before the procedure. Patients with heart problems, aortic aneurysms, or aortic valve defects are not suitable candidates for the IABP.
Your healthcare provider may recommend an electrocardiogram, blood profile, and chest X-ray before proceeding.
During the time the IABP heart pump is in place, you’ll be monitored closely. After a few days, your heart function will be assessed without the IABP. The device may be removed if the heart is functioning well. The leg incision will be sutured or sealed once the catheter is removed.
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The IABP procedure involves inserting a balloon-tipped catheter into the aorta through a small incision
in the leg artery. The balloon inflates and deflates in sync with the heart's rhythm to improve blood
flow.
IABP stands for Intra-Aortic Balloon Pump, a medical device used temporarily to support heart function
and increase blood flow in critically ill patients, especially those with heart failure or undergoing
cardiac surgery.
An IABP works by inflating and deflating a balloon in the aorta to augment blood flow. During inflation,
it improves coronary artery blood supply and reduces the heart's workload. Deflation occurs just before
the heart pumps, enhancing circulation.
Advantages include immediate support for failing hearts, improved coronary perfusion, and potential
stabilization before further treatments. Disadvantages may include vascular complications, bleeding
risks, and limited effectiveness in certain conditions.
IABP is used for short-term support in patients with acute myocardial infarction, cardiogenic shock or
during high-risk cardiac surgeries to stabilize circulation and improve oxygen delivery to vital organs.