Preoperative Prophylactic Intraaortic Balloon Pump Reduces the Incidence of Postoperative Acute Kidney Injury and Short-Term Death of High-Risk Patients Undergoing Coronary Artery Bypass Grafting: A Meta-Analysis of 17 Studies.

Abstract

This meta-analysis investigated the effects of preoperative prophylactic intraaortic balloon pump placement on postoperative renal function and short-term death of high-risk patients undergoing coronary artery bypass grafting. We found that preoperative prophylactic intraaortic balloon pump support reduced the incidence of coronary artery bypass grafting-associated acute kidney injury and short-term death and dramatically decreased the incidence of postoperative renal replacement therapy by 82% compared with high-risk patients without the procedure. This is the first meta-analysis to demonstrate significant beneficial effects of preoperative prophylactic intraaortic balloon pump on renal function in high-risk patients undergoing coronary artery bypass grafting.

• Authors: Jiayang Wang, Wenyuan Yu, Mingxin Gao, Chengxiong Gu, Yang Yu
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 101 Issue 5 Pg. 2007-19 (May 2016) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 27045229 (Publication Type: Journal Article, Meta-Analysis, Review)
• Copyright: Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Acute Kidney Injury (epidemiology, etiology, prevention & control, therapy)
• Clinical Trials as Topic
• Coronary Artery Bypass
• Coronary Artery Bypass, Off-Pump
• Hospital Mortality
• Humans
• Intra-Aortic Balloon Pumping
• Odds Ratio
• Postoperative Complications (epidemiology, etiology, prevention & control, therapy)
• Preoperative Care (methods)
• Renal Replacement Therapy (statistics & numerical data)
• Risk Factors