{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T12:40:49Z","timestamp":1792327249074,"version":"4.4.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"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"],"abstract":"\n Background<\/jats:title>\n The role of prophylactic preoperative intra-aortic balloon pump (IABP) in patients undergoing coronary artery bypass grafting (CABG) remains uncertain. This study aims to evaluate the safety and outcomes of preoperative IABP insertion in high-risk CABG patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review of outcomes of patients who had preoperative IABP insertion undergoing isolated CABG at a single United Kingdom quaternary centre was conducted between January 2015 and June 2025. Indications for IABP insertion were divided into prophylactic (critical coronary anatomy) and non-prophylactic insertion (haemodynamic instability and persistent angina). Primary outcome was 30-day mortality, and secondary outcomes included 90-day mortality, incidence of postoperative complications, specific complications related to IABP insertion and postoperative length of stay. Comparative analysis was performed between the two groups. Kaplan-Meier survival analyses were performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 610 patients underwent isolated CABG with preoperative IABP; 302 (49.5%) received prophylactic IABP and 308 (50.5%) had non-prophylactic insertion. There were 14 (2.3%) 30-day mortality and 20 (3.3%) 90-day mortality, with no significant difference in mortality between the two groups. Mean postoperative length of hospital stay was 11 \u00b1 7\u00a0days; this was significantly longer in the non-prophylactic group (12 \u00b1 8 vs 10 \u00b1 7\u00a0days,\n p<\/jats:italic>\n < 0.01). Postoperative neurological dysfunction occurred in 42 patients (6.9%) and dialysis in 5 (0.8%), with no differences between the two groups. There were 25 (4.1%) IABP-related complications; 8 localised haematoma managed conservatively, 4 wound infections treated with intravenous antibiotics, 5 lower limb ischaemia (3 required surgical re-vascularisation), 2 fatal bowel ischaemia, 2 renal and splenic malperfusion, 2 localised femoral artery dissection and 2 retroperitoneal haematoma (1 required emergency laparotomy).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study supports the selective use of prophylactic IABP in patients undergoing high-risk CABG. In this selected cohort, preoperative IABP use was associated with low early mortality, favourable long-term survival and an acceptable complication profile.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/02676591261496714","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:26:31Z","timestamp":1792103191000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of preoperative intra-aortic balloon pump insertion in high-risk coronary artery bypass grafting: A decade of single-centre experience"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2137-3119","authenticated-orcid":false,"given":"Hazem","family":"Aljasem","sequence":"first","affiliation":[{"name":"University Hospital Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Kho","sequence":"additional","affiliation":[{"name":"University Hospital Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umar","family":"Shafiq","sequence":"additional","affiliation":[{"name":"University Hospital Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8881-7140","authenticated-orcid":false,"given":"Sanjay","family":"Asopa","sequence":"additional","affiliation":[{"name":"University Hospital Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Ohri","sequence":"additional","affiliation":[{"name":"University Hospital Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.01.045"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.13114"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-014-0728-1"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv258"},{"issue":"1","key":"e_1_3_4_6_2","first-page":"CD004472","article-title":"Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting","volume":"2011","author":"Theologou T","year":"2011","unstructured":"Theologou T, Bashir M, Rengarajan A, et al. Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting. Cochrane Database Syst Rev 2011; 2011(1): CD004472. https:\/\/doi.org\/10.1002\/14651858.CD004472.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2007.00499.x"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2020.09.924"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy394"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1208410"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-024-02961-y"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2023.05.033"},{"key":"e_1_3_4_13_2","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2025","unstructured":"R Core Team. R: a language and environment for statistical computing. R Foundation for Statistical Computing, 2025."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-024-02925-2"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1159\/000506393"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.09.015"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1280"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261496714","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261496714","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261496714","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T11:48:59Z","timestamp":1792324139000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261496714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":16,"alternative-id":["10.1177\/02676591261496714"],"URL":"https:\/\/doi.org\/10.1177\/02676591261496714","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"article-number":"02676591261496714"}}