Arrow AutoCAT 2 Series Operating Manual page 11

C H A P T E R 1 : C l i n i c a l U s e s
Intra-Aortic Balloon Pumping (IABP), or counterpulsation, is a widely accepted
therapeutic method of temporarily supporting patients with impaired left ventricular
function. Impaired left ventricular function causes low cardiac output and inadequate
coronary perfusion. Counterpulsation helps to balance the myocardial oxygen supply
and demand in these patients. The hemodynamic effects of counterpulsation are
immediate, predictable, and most importantly, decrease morbidity and mortality.
The IABP can be initiated rapidly. For this reason, the IABP has become an important
therapeutic tool in a variety of clinical settings, including Emergency Departments,
Cardiac Catheterization Labs, Operating Rooms, and Intensive Care Units.
This chapter provides an overview to the clinical uses of the IABP and the functions of
the AutoCAT ® 2 Series IABP System. The details of how the AutoCAT
described in Chapter 3, Principles of Operation.
The contents of this chapter include:
1 . 1 : C l i n i c a l U s e s o f I A B P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 3
Physiological Basis of IABP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Medical Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Mechanical Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
Surgical Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9
1 . 2 : C o n t r a i n d i c a t i o n s a n d P o t e n t i a l C o m p l i c a t i o n s o f I A B P . . . . . . . . . . . 1 - 1 1
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Potential Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
1 . C l i n i c a l U s e s
® 2 Series works are
Clinical Uses
1-1