Abstract
Background:
Objective: (1) To describe clinical and subclinical characteristics of patients with high-risk percutaneous coronary intervention (PCI), (2) Evaluate results of using intra-aortic balloon pump (IABP) during highrisk PCI.
Materials and method: From August 2020 to September 2021, we conducted the study on 16 patient with high-risk coronary diseases in whom PCI using IABP was performed.
Results: Sixteen patients (eleven males and five females) underwent PCI with IABP support (mean age 72,5±8,14 years). Common cardiovascular risk factors were hypertention (62,5%), smoking (50%) and diabetes (43,75%). The mean left ventricular ejection fraction was 33,12±6,48%. The mean SYNTAX score was 27,44±3,18 Leff main PCI was performed in nine patients (56,25%). All IABP procedures were successful. The mean blood pressure after IABP support was significantly higher than baseline (88,31±7,39 mmHg vs 77,67±7,2 mmHg, p=0,001). The mean heart rate after IABP support was significantly lower
than baseline (80,75±9,84 vs 83,93±12,66, p=0,007). One patient had femoral pseudoaneurysms, one patient died because of ventricular arrihythmias which unrelated to IABP and PCI procedure.
Conclusion: IABP should use to support for high-risk PCI.