Use and Outcomes of Intra-Aortic Balloon Pump in Conventional Vs Off Pump Coronary Artery Graft Surgery: A Comparative Study

Authors

  • Daniyal Ahmad Kamal Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Imran Asghar Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sana Sarfraz Department of Adult Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Vaqar Ilahi Paracha Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Usama Akhtar Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ahmad Ali Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-3.10513

Keywords:

Coronary Artery Bypass Graft, Intra-Aortic Balloon Pump, Off Pump CABG, On Pump CABG, Outcome

Abstract

Objective: To compare the usage and outcomes of IABP undergoing conventional on-pump coronary artery bypass grafting (CABG) and off-pump coronary artery bypass grafting (OPCAB) patients.

Study Design: Comparative Cross-sectional study.

Place and Duration of Study: Adult Cardiac Surgery Unit, Tertiary Care Cardiac Center, Rawalpindi Pakistan, from Nov 2022 to Feb 2023.

Methodology: The study population comprised patients experiencing isolated coronary artery bypass grafting surgery irrespective of age and gender through non-probability consecutive sampling. CABG procedures with another concomitant procedure and conversion from OPCAB to on-pump CABG were excluded. Data entered and analyzed in SPSS v-24. Descriptive statistics were calculated and comparison between variables was made by chi-square test and independent sample t-test.

Results: 328 patients were recruited during the study duration. Out of 328, 207(63.1%) had on-pump CABG while 121(36.9%) had off-pump CABG (OPCAB). Most of the study population were males 276(84.1%), whilst 52(15.9%) were females. 202(61.6%) of the patients were hypertensive, 159(48.5%) were diabetics, 38(11.6%) were smokers and 32(9.7%) patients had intra-aortic balloon pump (IABP) insertion. Comparison between IABP usage and outcome variables was significant with CPB time (p=0.031), ICU stay (p<0.001), hospital stay (p=0.004), priority status of the surgery (p<0.001), ejection fraction (p=0.008) and mortality (p<0.001).

Conclusion: Overall, IABP remains a valuable support tool in managing high risk CABG patients.

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Published

30-05-2025

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Original Articles

How to Cite

1.
Kamal DA, Asghar MI, Sarfraz S, Paracha VI, Akhtar MU, Ali A. Use and Outcomes of Intra-Aortic Balloon Pump in Conventional Vs Off Pump Coronary Artery Graft Surgery: A Comparative Study. Pak Armed Forces Med J [Internet]. 2025 May 30 [cited 2025 Oct. 6];75(SUPPL-3):S441-S445. Available from: https://www.pafmj.org/PAFMJ/article/view/10513