- In general, IABP should only be used for conditions that are
- Reversible or as a bridge to definitive treatment
- Acute, life-threatening and unresponsive to conventional treatment
- Evidence is limited for its use but it remains a regularly utilised therapy
Conditions Benefiting from Diastolic Coronary Perfusion
- Cardiogenic shock while waiting for PCI
- Intractable ischemia awaiting revascularization
- Pulmonary oedema in spite of maximal medical management
- Cardiogenic shock complicating MI (controversial indication)
Conditions Benefiting from Reduced Afterload
- Weaning from cardiac bypass
- As a bridge to cardiac transplant
- Significant pathology with haemodynamic compromise awaiting repair:
- Severe aortic stenosis
- Mitral regurgitation
- Other mechanical complications of MI
- Ventricular septal defect
- Complex paediatric congenital cardiac disease
- Cardiogenic shock complicating MI (controversial indication)
Prophylactic Indications
- High risk CABG patients (pre-op)
- High-risk PCI patients (pre-op)