{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:05:06Z","timestamp":1793657106858,"version":"4.5.1"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Although the intra-aortic balloon pump (IABP) has been the most widely adopted temporary mechanical support device in cardiac surgical patients, its use has declined. The current study aimed to evaluate the occurrence and predictors of early mortality and complication rates in contemporary cardiac surgery patients supported by an IABP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A multicentre, retrospective analysis was performed of all consecutive cardiac surgical patients receiving perioperative balloon pump support in 8 centres between January 2010 to December 2019. The primary outcome was early mortality, and secondary outcomes were balloon-associated complications. A multivariable binary logistic regression model was applied to evaluate predictors of the primary outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The study cohort consisted of 2615 consecutive patients. The median age was 68 years [25th percentile 61, 75th percentile 75 years], with the majority being male (76.9%), and a mean calculated 30-day mortality risk of 10.0%. Early mortality was 12.7% (n = 333), due to cardiac causes (n = 266), neurological causes (=22), balloon-related causes (n = 5) and other causes (n = 40). A composite end point of all vascular complications occurred in 7.2% of patients, and leg ischaemia was observed in 1.3% of patients. The most important predictors of early mortality were peripheral vascular disease [odds ratio (OR) 1.63], postoperative dialysis requirement (OR 10.40) and vascular complications (OR 2.57).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The use of the perioperative IABP proved to be safe and demonstrated relatively low complication rates, particularly for leg ischaemia. As such, we believe that specialists should not be held back to use this widely available treatment in high-risk cardiac surgical patients when indicated.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac091","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T19:13:36Z","timestamp":1648581216000},"source":"Crossref","is-referenced-by-count":12,"title":["Contemporary outcomes of cardiac surgery patients supported by the intra-aortic balloon pump"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-2045","authenticated-orcid":false,"given":"Roberto","family":"Lorusso","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Maastricht University Medical Center+ , Maastricht, Netherlands"},{"name":"Cardiovascular Research Institute Maastricht (CARIM), Maastricht University , Maastricht, Netherlands"},{"name":"Department of Cardiac Surgery, A.O. Spedali Civili , Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3531-9997","authenticated-orcid":false,"given":"Samuel","family":"Heuts","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Maastricht University Medical Center+ , Maastricht, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6889-5686","authenticated-orcid":false,"given":"Federica","family":"Jiritano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale Universitario , Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Scrofani","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale Sacco , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9003-0240","authenticated-orcid":false,"given":"Carlo","family":"Antona","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale Sacco , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4209-2866","authenticated-orcid":false,"given":"Guglielmo","family":"Actis Dato","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale Mauriziano , Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Centofanti","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale Mauriziano , Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro","family":"Ferrarese","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale di Circolo , Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Matteucci","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale di Circolo , Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5666-5402","authenticated-orcid":false,"given":"Antonio","family":"Miceli","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Istituto Clinico S. Ambrogio , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Glauber","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Istituto Clinico S. Ambrogio , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Vizzardi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, A.O. Spedali Civili , Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro","family":"Sponga","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospediale S. Maria della Misericordia , Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3473-1779","authenticated-orcid":false,"given":"Igor","family":"Vendramin","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospediale S. Maria della Misericordia , Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-1850","authenticated-orcid":false,"given":"Andrea","family":"Garatti","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale di S. Donato , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"de Vincentis","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale di S. Donato , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-7437","authenticated-orcid":false,"given":"Michele","family":"De Bonis","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ospedale S. 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