Postoperative; Dysfunction Following Cardiac Surgery Clinical Trial
Official title:
Intra-aortic Balloon Counterpulsation in Patients Undergoing Cardiac Surgery: a Randomized Controlled Trial
The hypothesis of the study is to evaluate if the preoperative placement of IABP reduces clinical complications in high-risk patients undergoing cardiac surgery.
High-risk patients undergoing cardiac surgery are at high risk for myocardial ischemia,
arrhythmia, cardiogenic shock and other clinical complications. Different therapeutic
options are available to support these patients in the perioperative period including
inotropes, vasopressors, and vasodilators, and also assist devices such as intra-aortic
balloon pump (IABP) and others.
IABP increases myocardial oxygen supply by increasing diastolic coronary perfusion pressure
and decreases myocardial oxygen demand by reducing left ventricular afterload. Additionally,
IABP can also improve cardiac output and systemic perfusion. The hypothesis of this
randomized and controlled trial is that the placement of IABP immediately before the cardiac
surgery reduces clinical complications in high-risk patients.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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