{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:52:09Z","timestamp":1781002329401,"version":"3.54.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,2,18]],"date-time":"2018-02-18T00:00:00Z","timestamp":1518912000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Prophylactic intra-aortic balloon counterpulsation (pIABC) is recommended for high-risk patients undergoing coronary artery bypass grafting (CABG) surgery. Criteria for high-risk patients benefiting from pIABC are unclear. This study aimed to specifically describe the effect of pIABC on outcomes of patients with acute myocardial infarction (AMI) undergoing CABG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In 178 of 484 AMI patients (non-ST-segment elevation myocardial infarction [NSTEMI] or ST-segment elevation myocardial infarction [STEMI] \u22645 days before surgery) without cardiogenic shock who underwent CABG between 2008 and 2013, pIABC was initiated preoperatively. After propensity score matching, the outcomes of 400 patients were analyzed (pIABC: 150; Control: 250).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After propensity score matching, baseline and operative characteristics were balanced between the groups except for a higher rate of patients with a left ventricular ejection fraction (LVEF)\u226430% in the pIABC group (26% vs. Control: 13%; p=0.032). Seven point two percent (7.2%) of the control patients received an IABP intraoperatively or postoperatively. Postoperative extracorporeal life support (ECLS) was only needed in the control group (1.2% vs. 0%; p=0.01). Postoperative plasma curves of troponin I, creatine kinase (CK) and creatine kinase isoform MB (CK-MB) levels were reduced in the pIABC group compared with the control group. In-hospital mortality was reduced in the pIABC group (3.3% vs. control: 6.4%; p=0.18). After multivariate adjustment for other preoperative risk factors, pIABC was significantly protective concerning in-hospital mortality (HR 0.56; 95%-CI 0.023-0.74; p=0.021). Mortality (pIABC vs. control) was more affected in patients with preoperative LVEF\u226430% (2\/36 (5.6%) vs. 6\/31 (19%); heart rate (HR) 0.25; 95%-CI 0.046-1.3; p=0.13) compared with LVEF&gt;30% (3\/114 (2.6%) vs. 10\/219 (4.6%); HR 0.56; 95%-CI 0.15-2.1; p=0.55). Long-term survival did not differ between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>pIABC in CABG for AMI is associated with reduced perioperative cardiac injury and in-hospital mortality. Long-term survival is not affected.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0267659118760384","type":"journal-article","created":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T01:18:44Z","timestamp":1519003124000},"page":"390-400","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Prophylactic intra-aortic balloon counterpulsation before surgical myocardial revascularization in patients with acute myocardial infarction"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4139-7983","authenticated-orcid":false,"given":"Philippe","family":"Grieshaber","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Oster","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Sana Hospital Berlin-Lichtenberg, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coskun","family":"Orhan","sequence":"additional","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Niemann","sequence":"additional","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"B\u00f6ning","sequence":"additional","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,2,18]]},"reference":[{"key":"bibr1-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.05.116"},{"key":"bibr2-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.10.042"},{"key":"bibr3-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021507002761"},{"key":"bibr4-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivx188"},{"key":"bibr5-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90220-Z"},{"key":"bibr6-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03663-9"},{"key":"bibr7-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1208410"},{"key":"bibr8-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2017.05.015"},{"key":"bibr9-0267659118760384","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-015-0349-z"},{"key":"bibr10-0267659118760384","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1055\/s-0034-1395942","volume":"63","author":"Pilarczyk 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