Outcome of high risk patients undergoing CABG on mechanical support by intra-aortic balloon / Khalid Fared Mohamed Hassan ; Supervised Kamel Abdelaziz , Mohamed Fawzy , Mohamed Desouky

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine

The increased popularity and success of CABG grafting during the past decade seems to be a good surgical option. Good surgical results were obtained from different studies . The benefits of IABC in reducing myocardial ischemia among critical ischemic patients undergoing CABG are unquestionable. And IABC has become the most widely used circulatory assist device because of its ease of use and its predictable response . Many studies demonstrated that Elective preoperative IABC in patients with high-risk coronary artery disease permits On Pump CABG operation in the majority, reduces the ICU stay, leads to earlier weaning from intra-aortic balloon pump (IABP), reduces the morbidity and mortality, and is more economical Recent studies shows that delayed usage of( intraoperative or postoperative) IABC in high-risk coronary artery disease group patients, who fulfill the insertion criteria generally result in catastrophic outcomes and is not sufficient to reverse clinical outcome The aim of our study: was to evaluate the outcome in patients undergoing coronary artery bypass grafting (CABG) who received an intra-aortic balloon pump (IABP) prior to surgery and to determine the effect on mortality and morbidity of using the intra-aortic balloon pump preoperatively in patients undergoing CABG

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