Intra-Aortic Balloon Counterpulsation: An Assessment
Authors: Eugene Braunwald, Peter R. Maroko
Journal: Annals of Internal Medicine (1972)

Editorials1 April 1972Intra-Aortic Balloon Counterpulsation: An AssessmentEUGENE BRAUNWALD, M.D., PETER R. MAROKO, M.D.EUGENE BRAUNWALD, M.D.Search for more papers by this author, PETER R. MAROKO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-76-4-659 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt has been recognized for a number of years that the definitive therapy of cardiac insufficiency not responsive to currently available forms of medical or surgical treatment will consist of either a permanent artificial heart or long-term successful cardiac homotransplantation. The general disappointment with the results of transplantation has led to increasing interest in the development of a suitable prosthetic heart. Although progress toward this goal is being made in many laboratories, it now appears that the availability of a reliable, totally implanted system may still be years away. But the exploration of a less ambitious approach, designed to provide...References1. KANTROWITZKANTROWITZ AA: Experimental augmentation of coronary flow by retardation of the arterial pressure pulse. Surgery 34:678-687, 1953 MedlineGoogle Scholar2. CLAUSSBIRTWELLALBERTAL RWG: Assisted circulation. I. The arterial counterpulsator. J Thorac Cardiovasc Surg 41:447-458, 1961 CrossrefMedlineGoogle Scholar3. MOULOPOULOSTOPAZKOLFF SSW: Diastolic balloon pumping (with carbon dioxide) in the aorta—a mechanical assistance to the failing circulation. Am Heart J 63:669-675, 1962 CrossrefMedlineGoogle Scholar4. SPOTNITZCOVELLROSS HJJ: Left ventricular mechanics and oxygen consumption during arterial counterpulsation. Am J Physiol 217:1352-1358, 1969 CrossrefMedlineGoogle Scholar5. BRAUNWALDCOVELLMAROKO EJP: Effects of drugs and of counterpulsation on myocardial oxygen consumption. Circulation 40(suppl 4):220-228, 1969 Google Scholar6. POWELLDAGGETTMAGIO WWA: Effects of intra-aortic balloon counterpulsation on cardiac performance, oxygen consumption, and coronary blood flow in dogs. Circ Res 26:753-764, 1970 CrossrefMedlineGoogle Scholar7. KAHLERBRAUNWALDKELMINSON REL: Effect of alteration of coronary blood flow on the oxygen consumption of the non-working heart. Circ Res 13:501-509, 1963 CrossrefMedlineGoogle Scholar8. BROWNGOLDFARBGOTT BDV: A vaso-motor reflex contribution to systolic pressure reduction during diastolic augmentation. Trans. Am Soc Artif Intern Organs 12:63-68, 1966 MedlineGoogle Scholar9. JACOBEYTAYLORSMITH JWG: A new therapeutic approach to acute coronary occlusion. II. Opening dormant coronary collateral channels by counterpulsation. Am J Cardiol 11:218-227, 1963 CrossrefGoogle Scholar10. GOLDFARBBROWNCONTI DBC: Cardiovascular responses to diastolic augmentation in the intact canine circulation and after ligation of the anterior descending coronary artery. J Thorac Cardiovasc Surg 55:243-254, 1968 CrossrefMedlineGoogle Scholar11. FLEMINGAABY WG: A comparative study of arterioarterial and intra-aortic balloon counterpulsation in the therapy of cardiogenic shock. J Thorac Cardiovasc Surg 60:818-828, 1970 CrossrefMedlineGoogle Scholar12. MAROKOKJEKSHUSSOBEL PJ: Factors influencing infarct size following experimental coronary artery occlusion. Circulation 43:171-174, 1971 CrossrefMedlineGoogle Scholar13. MAROKOBERNSTEINDE LARIA PEG: The effect of intra-aortic balloon counterpulsation on myocardial ischemic injury following coronary artery occlusion. Clin Res 20:172, 1972 Google Scholar14. NACHLASSIEDBAND MM: The influence of diastolic augmentation on infarct size following coronary artery ligation. J Thorac Cardiovasc Surg 53:698-706, 1967 CrossrefMedlineGoogle Scholar15. SUGGWEBBECKER WWR: Reduction of extent of myocardial infarction by counterpulsation. Ann Thorac Surg 7:310-316, 1969 CrossrefMedlineGoogle Scholar16. MAROKOBERNSTEINLIBBY PEP: The effects of intra-aortic balloon counterpulsation on the severity of myocardial ischemic injury following acute coronary occlusion. Circulation In press Google Scholar17. SCHELBERTCOVELLBURNS HJJ: Observations on factors affecting local forces in the left ventricular wall during acute myocardial ischemia. Circ Res 29:306-316, 1971 CrossrefMedlineGoogle Scholar18. KANTROWITZKRAKAUERBUTNER AJA: Phase-shift balloon pumping in cardiogenic shock. Progr Cardiovasc Dis 12:293-301, 1969 CrossrefMedlineGoogle Scholar19. MUELLERAYRESCONKLIN HSE: The effects of intra-aortic counterpulsation on cardiac performance and metabolism in shock associated with acute myocardial infarction. J Clin Invest 50:1885-1900, 1971 CrossrefMedlineGoogle Scholar20. MUNDTHBUCKLEYLEINBACH EMR: Myocardial revascularization for the treatment of cardiogenic shock complicating acute myocardial infarction. Surgery 70:78-87, 1971 MedlineGoogle Scholar21. PAGECAUFIELDKASTOR DJJ: Myocardial changes associated with cardiogenic shock. N Engl J Med 285:133-137, 1971 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: EUGENE BRAUNWALD, M.D.; PETER R. MAROKO, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNosologie, Klinik und Therapie des kardiogenen SchocksEffect of the Kallikrein Inhibitor Aprotinin on Myocardial Ischemia and Necrosis in ManCatecholamines and the HeartPhysiologic profiles in circulatory support and management of the critically IIIIncreased cardiac output by downstream pumping with a reversed unidirectional intra-aortic balloonEFFECTS OF METABOLIC AND PHARMACOLOGIC INTERVENTIONS ON MYOCARDIAL INFARCT SIZE FOLLOWING CORONARY OCCLUSION*Ventricular Arrhythmias following Mitral Valve ReplacementIntra-Aortic Balloon Pumping for Low Cardiac Output SyndromesTreatment of preinfarction angina with intraaortic balloon counterpulsation and surgeryThe hypertensive balloonIntraaortic Balloon Counterpulsation and Cardiac SurgeryModification of Myocardial Infarction Size After Coronary OcclusionPETER R. MAROKO, M.D., EUGENE BRAUNWALD, M.D., F.A.C.P. 1 April 1972Volume 76, Issue 4Page: 659-661KeywordsHeartHomotransplantationTransplantation ePublished: 1 December 2008 Issue Published: 1 April 1972 PDF downloadLoading ...