Pulmonary edema interventional therapy

Pulmonary edema Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Pulmonary Edema from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic study of choice
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
Electrocardiography
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventional Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Pulmonary edema interventional therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pulmonary edema interventional therapy
CDC on Pulmonary edema interventional therapy
Pulmonary edema interventional therapy in the news
Blogs on Pulmonary edema interventional therapy
Directions to Hospitals Treating Pulmonary edema
Risk calculators and risk factors for Pulmonary edema interventional therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]

Interventional Therapy

Intra-Aortic Balloon Pumping

• Can be used to achieve hemodynamic stabilization in the patient before definitive therapy
• The intra-aortic balloon pump decreases afterload

• The intra-aortic balloon pump is inserted percutaneously through the femoral artery

• The distal end of the pump is placed distal to the aortic knob and the origin of the left subclavian artery
• For inflation of the balloon helium is used
• Inflation of the balloon should occur in early diastole, just after the aortic valve closes
• Deflation of balloon should occur in early systole, just before the aortic valve opens
• Proper inflation results in an assisted peak diastolic pressure higher than the unassisted peak systolic arterial pressure
• Proper deflation leads to assisted aortic end-diastolic pressure of approximately 10mm Hg lower than the unassisted end-diastolic pressure

Contraindications

Absolute contraindications for intra-aortic balloon pumping include:

• Dissecting aortic aneurysm
• Severe aortic regurgitation
• Large arteriovenous shunt
• Severe coagulopathy

Relative contraindications include:

• Severe peripheral vascular disease
• Recent thrombolytic therapy
• Bleeding diathesis
• Descending aortic
• Peripheral vascular grafts