{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T07:03:43Z","timestamp":1771225423178,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is little data questioning the timing of intra\u2010aortic balloon pump (IABP) implantation in non\u2010cardiogenic shock patients undergoing high\u2010risk percutaneous procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We compared prophylactic IABP (P\u2010IABP) implantation to an emergent, unplanned rescue use (R\u2010IABP) in high\u2010risk PCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 300 IAPB patients who were treated at Ulm University Heart Center, Germany, between 2012 and 2020, we retrospectively selected and analyzed data from 59 patients. The cohort was subdivided into 44 P\u2010IABP and 15 R\u2010IAPB patients who underwent protected PCI with an IABP. Patients with cardiogenic shock at baseline, Impella\u2010pump or extra corporal membrane oxygenator (ECMO) were excluded. Both elective and emergency patients with acute coronary syndrome were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed no significant difference in the baseline characteristics. The achieved SYNTAX score reduction after PCI (delta SYNTAX) was higher in the P\u2010IABP group (22.15\u2009\u00b1\u200910.31 points in the P\u2010IAPB and 15.73\u2009\u00b1\u200910.13 points in the R\u2010IABP group,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). In addition, we observed lower highly sensitive Troponin T (hsTnT) peak values in the P\u2010IAPB group after the intervention (2223.33\u2009\u00b1\u20093129.77\u2009ng\/L vs. 5823.85\u2009\u00b1\u20093885.35\u2009ng\/L,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). P\u2010IABP was associated with peak hsTnT values (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). The 30\u2010day mortality rates were not significantly different (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.88).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients in the prophylactic\u2010IAPB group experienced a more complete revascularization measured with the delta SYNTAX score compared to those in the rescue\u2010IAPB group. Moreover, peri\u2010interventional infarct size measured by hsTnT release was significantly lower. Both findings indicate that P\u2010IABP implantation in high\u2010risk PCI should be preferred to rescue IAPB use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31653","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T05:24:44Z","timestamp":1748841884000},"page":"1002-1011","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prophylactic IABP Use in Protected PCI Reduces Infarction Size and Leads to More Complete Revascularization in Comparison to Rescue IAPB Use"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6648-9318","authenticated-orcid":false,"given":"Sascha","family":"d'Almeida","sequence":"first","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilman","family":"Stephan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Weinig","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Felbel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Mayer","sequence":"additional","affiliation":[{"name":"Institute for Epidemiology and Medical Biometry Ulm University Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Andre\u00df","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Rottbauer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Buckert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9708-0702","authenticated-orcid":false,"given":"Sinisa","family":"Markovic","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine University of Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27717"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-016-0513-0"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1280"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1208410"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.03.036"},{"key":"e_1_2_9_8_1","unstructured":"K. E.Kearney J. M.McCabe andR. F.Riley \u201cHemodynamic Support for High\u2010Risk PCI Cardiac Interventions Today \u201d 2019."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.098194"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw128"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/039139880202501207"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2018.06.042"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1190"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.03.036"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.09.041"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(84)80273-9"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.res.26.6.753"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2004.00080.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.11.023"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30137"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2020.09.044"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31653","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31653","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31653","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:05:12Z","timestamp":1771221912000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31653"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31653","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2025-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}