Indications for use of IABP - myocardial ischemia related:
(1) heart failure associated with ischemia-related ventricular arrhythmia
(2) refractory cardiogenic shock following acute myocardial infarction
(3) papillary muscle rupture or rupture of the ventricular septum after myocardial infarction
(4) unstable angina unresponsive to medical treatment
(5) prophylaxis in a patient undergoing coronary revascularization with very poor left ventricular ejection
(6) prophylaxis for a patient undergoing high risk angioplasty
Indications for use of IABP - myocardial function:
(1) refractory cardiogenic shock after cardiac surgery
(2) refractory shock associated with other causes (post-operative, trauma)
(3) presence of a mechanical problem with the heart
(4) heart failure after cardiac transplantation
(5) heart failure associated with viral myocarditis
Contraindications to use of IABP:
(1) aortic valve insufficiency
(2) dissecting aortic aneurysm
(3) traumatic aortic transection
(4) abdominal aortic aneurysm
Contraindications affecting insertion of IABP into femoral artery:
(1) severe atherosclerosis affecting the distal aorta, iliac and/or femoral arteries
(2) recent groin incision
Relative contraindications (poor long term prognosis or high risk complications):
(1) irreversible hepatic, renal or pulmonary failures (except transplant candidate)
(2) massive stroke
(3) incurable malignant disease
(4) severe coagulopathy
(5) sepsis or severe persisting infections
