What is intra-aortic balloon therapy?
The intra-aortic balloon (IABP) is one kind of device for therapeutic use. It aids your heart to pump more blood. You might need it when your heart isn’t able to supply enough blood to your body.
The IABP comprises an extremely thin and flexible tube referred to as the catheter. The tip of the tube is a lengthy balloon. It is referred to as an intra-aortic balloon or IAB. The other end of the catheter connects to an electronic console. The console is equipped with the ability of inflating and deflating the balloon at the right timing the moment the heartbeat is in.
The heart circulates the oxygenated blood, as well as nutrients into every part within your body. Blood flows out of the heart via the arteries, blood vessels that transport oxygenated blood. The walls that surround the heart are also dotted with the arteries. These are known as coronary arteries. By these arteries, your heart gets all the nutrients and oxygen it requires.
As the heart expands, it pumps blood into the bloodstream. When it is relaxed, blood flows through the coronary arteries in order for oxygenation of the heart. An IABP lets blood flow more easily through the coronary blood vessels. It also assists your heart to pump more blood through every contraction.
The balloon is placed into the Aorta. The aorta, or aorta, is the vast artery that leaves your heart. In most cases the procedure is carried out by cutting a tiny cut on an inside part of the leg’s upper part. The healthcare professional will place the catheter for balloon pumps into an artery inside your leg. The doctor will direct it to your Aorta.
Once that is done then, the IABP will begin to perform its job. The balloon will increase in size as the heart is relaxed. It directs blood flow back towards the coronary blood vessels. They might not be receiving enough blood prior to the pump. When the heart contract and the balloon is deflated, it expands. This allows the heart to pump more blood into the body and use less energy. This device will continue to expand and deflate till it is removed.
IABP is an IABP is a treatment that is only temporary. It may be necessary until the condition of your heart improves or until you be treated more permanently. It’s popularity is increasing rapidly. However, it’s not yet accessible in all medical facilities.
What are the reasons I might need an intra-aortic balloon pump Therapy?
IABP therapy is utilized to treat cardiogenic shock. It’s when your heart isn’t able to supply enough blood to satisfy the needs for your system.
Some heart conditions can lead to cardiogenic shock. They include:
Certain irregular heart rhythms can be a cause for concern.
There is a chance that you will require an IABP in the case of an a specific medical procedure. For instance, you might require it if you are having an intervention percutaneous to the coronary artery. The procedure is used to open an artery that has been blocked within the heart. You may also be able to benefit from an IABP when you are recovering from heart surgery.
In certain situations there are instances where you may not be able to make use of an IABP regardless of whether your heart doesn’t provide enough blood. For instance, patients who have a leaky aortic valve aren’t able to safely use IABP. People with aneurysms in their aorta cannot benefit from the therapy.
What’s the dangers of the intra-aortic balloon pump procedure?
IABP therapy is extremely useful. Sometimes, it can save lives. However, it comes with dangers. They include:
Injuries resulting from the inability the flow of blood into the leg (ischemia)
Acute injury to the artery
A balloon that is placed in an incorrect position could result in injury to the kidneys and other issues.
Insufficient platelet count, which can cause bleeding issues because blood doesn’t form clots as quickly.
Your specific risk is contingent on your age as well as any other medical issues you be suffering from. For instance, a deficiency of blood flow to your legs could be more likely in the event that you suffer from peripheral vascular diseases.
What can I do to prepare for my intra-aortic treatment with a balloon pump?
Before you undergo your procedure, speak with your doctor about your concerns. The doctor will give you specific instructions. Make sure you inform your physician that you are expecting or think you may be. Let them know if you suffer from:
Any other medical condition
Sedation problems can be a problem.
New symptoms, like an unexpected fever
Smoke, make an effort to quit before the procedure. This will reduce the risk of developing complications. It is also advised not to consume anything or drink alcohol later than midnight on the day of the procedure. It is also possible to discontinue taking any medication. In the beginning and throughout the treatment, you may be required to take medication to prevent blood clots.
You might require additional tests to determine your health prior to the test. This could include:
Basic blood tests (to determine if there is anemia or infection)
An electrocardiogram (to check your heart rhythm)
An x-ray of the chest (to see your lungs and heart)
An echocardiogram (to see the way the heart pumping)
What is the process when you use an intra-aortic balloon pump?
In IABP, the procedure involves inserting a balloon-tipped catheter into the blood vessel before advanced it to the heart. This usually happens in the course of a heart-related procedure. In case of emergency situation, the medical team could place it near your bedside.
Your doctor can inform you precisely what you can be expecting. The procedure generally includes these steps
First, you’ll receive Anesthesia. If you’re having the procedure You may be in general anesthesia. In this case you’ll fall asleep and not experience any sensation. In other instances you might receive a prescription to aid in relaxation. Additionally, you can be given numbing medication on the place of insertion.
During the process the cardiovascular rate and blood pressure and other vital indicators will be checked.
A tiny cut is made in an artery located in the upper portion of your thigh. The balloon catheter is inserted through the cut.
A surgeon will guide the catheter into a portion of your aorta within the chest region. They can track this motion using an X-ray image that is continuous.
The balloon is programmed to expand as your heart begins to relax. It will then deflate once your heart is contracted.
The catheter’s end will be securedto ensure that it remains in its place.
There may be a feeling of chest pain following the procedure. The pain should disappear within a matter of minutes following the start of the IABP. If you continue to experience symptoms, you might need more treatment.
Your doctor will be watching for any signs of complications. It’s likely that you’ll need to stay in bed for a while afterward. The bed’s head should be elevated slightly. The leg that has the catheter being inserted should remain straight. This will prevent the balloon from shifting off from its place. It may also be necessary to take regular chest X-rays to be sure the device is in the right place. The pump usually makes noises during the cycle between deflation and inflation.
Contact your physician immediately of any new signs like bleeding at the site of insertion. The pain in your chest could indicate it is possible that the time of your device has to be altered. A tingling or paleness in your leg might be due at a decreased flow of blood to the region.
What is the outcome following the intra-aortic balloon pump treatment?
It is possible that you will need to remain on the pump for a few days. Your healthcare provider will keep an eye on your progress. He or she might temporarily shut off the pump to observe how you respond. You could also decide to set it up to inflate and deflate each 2nd and 4th beat. When your heart seems to be pumping by itself then you might be ready to end treatment with IABP. You could also end the treatment when a different option is feasible (like an organ donor heart).
If it’s time to take the pump off You will likely be given medications to help you relax. Your doctor will take out the catheter as well as the balloon attached to it. The doctor will close the incision on your leg.
Your physician might give you additional information regarding what you can anticipate. Take these steps carefully to increase the chances of a successful outcome.
The next steps
Before you sign the test or procedure, ensure you are aware of:
The test’s name or the procedure
The reason you’re having the test or procedure is because of the
What kind of results can we expect and what do they translate to
The potential risks and advantages from the procedure or test
What possible adverse side effects or possible complications might be?
Where and when you’re to undergo your test, or the procedure
Who will conduct the test or the procedure and what the qualifications of that person are
What could happen If you didn’t have the test or the procedure
Alternative methods or tests to consider
How and when will you be able to achieve your goals?
Who should you contact following the test or process if you have problems or questions
How much will you be required to pay for the test or procedure?