{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:13:57Z","timestamp":1740136437949,"version":"3.37.3"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T00:00:00Z","timestamp":1570060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"XEMEX"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We studied the flow pattern in the superior mesenteric artery (SMA) during intra-aortic balloon pump support, comparing 2 intra-aortic balloons of 2 different lengths.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Sixteen Landrace pigs (mean weight 84.0\u2009kg\u2009\u00b1\u20096.0) were used in this study. The animals were randomly assigned to 2 groups: group 1 received an 8-Fr, 40-ml standard balloon; group 2 received an 8-Fr, 40-ml short balloon. SMA flow was measured during early, mid- and telediastole.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The standard balloon led to a reduction in SMA flow in early diastole (P\u2009&amp;lt;\u20090.001), a negative flow in mid-diastole (P\u2009&amp;lt;\u20090.001) and a reincrease in telediastole (P\u2009&amp;lt;\u20090.001). In contrast, in early diastole a significant reduction was observed with the short balloon (P\u2009&amp;lt;\u20090.001), followed by another drop in mid-diastole (P\u2009&amp;lt;\u20090.001), without reaching negative values and by a telediastolic increase (P\u2009&amp;lt;\u20090.001). SMA flows were comparable between balloons during early diastole (P\u2009=\u20090.66), whereas they were higher with the short balloon during mid (P\u2009&amp;lt;\u20090.001) and telediastole (P\u2009=\u20090.02). Overall, the diastolic area was significantly larger when the short balloon was used (P\u2009&amp;lt;\u20090.001). Finally, during counterpulsation, mesenteric resistances increased significantly (P\u2009&amp;lt;\u20090.001), although, with the short balloon, they were lower than with the standard balloon (P\u2009=\u20090.01).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Despite better overall mean mesenteric diastolic flow, the short balloon leads to early- and mid-diastolic flow reduction, although to a lesser extent than the standard intra-aortic balloon pump balloon. Our data are a call for improvement in the design of the short balloon.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivz230","type":"journal-article","created":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T07:36:53Z","timestamp":1567755413000},"page":"121-128","source":"Crossref","is-referenced-by-count":1,"title":["Superior mesenteric flow pattern during counterpulsation: is simply a shorter balloon the solution for visceral hypoperfusion?"],"prefix":"10.1093","volume":"30","author":[{"given":"Monique M J","family":"de Jong","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Parise","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Matteucci","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Tetta","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos G","family":"Maessen","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, CARIM-School for Cardiovascular Disease, Maastricht University, Maastricht, 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