Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Fiber optic catheters in intra-aortic balloon pump therapy

Authors: L.A. Bockeria, L.N. Rumyantsev

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2018-15-4-237-248

UDC: 616.13-089.8-78:615.472.5

Link: Clinical Physiology of Blood Circulaiton. 2018; 15 (4): 237-248

Quote as: Bockeria L.A., Rumyantsev L.N. Fiber optic catheters in intra-aortic balloon pump therapy. Clinical Physiology of Circulation. 2018; 15 (4): 237–48 (in Russ.). DOI: 10.24022/1814-6910-2018-15-4-237-248

Received / Accepted:  01.08.2018/13.08.2018

Download
Full text:  

Abstract

Intra-aortic balloon pump (IABP) is a system of auxiliary circulation, improving the energy supply of the myocardium, used in patients with acute heart failure of various origins. The work of this device consists in moving a certain volume of blood and changing the pressure in a certain phase of the cardiac cycle due to rapid deflation and inflation of the intra-aortic balloon. One of the main components of the correct work of the IABP is the qualitative measurement of blood pressure. At present, a new fiber optic system has appeared that can be miniaturized, compact, immune to electromagnetic interference, is biocompatible with the tissues of the human body, and can be used at high and low temperatures. Due to its properties, this fiber-optic sensor can be located at the very tip of the IABP catheter. Miniature fiber-optic sensors used in the therapy of IABP are based on the Fabry–Perot principle of interferometry. Given the increase in comorbid pathology in the population and the severity of irregular arrhythmias, an alternative synchronization method, such as a fiber optic sensor, is the optimal choice for the method of hemodynamic support of IABP.

References

  1. Kantrowitz A., Tjonneland S., Freed P.S., Phillips S.J., Butner A.N., Sherman J.L. Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA. 1968; 203 (2): 113–8. DOI: 10.1001/jama.1968.03140020041011
  2. Moulopoulos S., Topaz S., Kolff W. Diastolic balloon pumping with carbon dioxide in the aorta, a mechanical assistance to the failing circulation. Am. Heart J. 1962; 63 (5): 669–71. DOI: 10.1016/0002-8703(62)90012-1
  3. Шумаков В.И., Толпекин В.Е. Вспомогательное кровообращение. М.: Медицина; 1980. [Shumakov V.I., Tolpekin V.E. Аncillary circulation. Moscow: Meditsina; 1980 (in Russ.).]
  4. Bregman D. Dual chambered intraaortic balloon. Arch. Intern. Med. 1971; 127 (4): 775–6. DOI: 10.1001/archinte.1971.00310160253026
  5. Бокерия Л.А., Шаталов К.В. Вспомогательное и за- местительное кровообращение. Лекции по сердеч- но-сосудистой хирургии. Изд. 3-е. М.: НЦССХ им. А.Н. Бакулева РАМН; 2013: 615–25. [Bockeria L.A., Shatalov K.V. Auxiliary and replacement blood circulation. Lectures on cardiovascular surgery. 3th ed. Moscow; 2013: 615–25 (in Russ.).]
  6. Kapelios C.J., Terrovitis J.V., Nanas J.N. Current and future applications of the intra-aortic balloon pump. Curr. Opin. Cardiol. 2014; 29: 258–65. DOI: 10.1097/hco.0000000000000059
  7. Внутриаортальная баллонная контрпульсация. Руководство для практикующих врачей. URL: http://www.kardio.ru/profi_1/pr/vabp.htm (дата обращения 17.07.2018). [Intraaortic balloon counterpilsation. Physician guideline (in Russ.). Available at: http://www. kardio.ru/profi_1/pr/vabp.htm (accessed 17 July 2018).]
  8. Santa-Cruz R.A., Stouffer G.A. Hemodynamics of intra-aortic balloon counterpulsation. In: Stouffer G.A. (Ed.) Cardiovascular hemodynamics for the clinician. 2nd ed. 2017: 255–65. DOI: 10.1002/9781119066491.ch21
  9. Stewart S., Biddle T., DeWeese J. Support of the myocardium with intra-aortic balloon counterpulsation following cardiopulmonary bypass. J. Thorac. Cardiovasc. Surg. 1976; 72: 109–14. DOI: 10.1016/S0002-8703(76)80016-6
  10. Бураковский В.И., Бокерия Л.А. (ред.) Сердечно- сосудистая хирургия: Руководство. М.: Медицина; 1989: 589–91. [Burakovskiy V.I., Bockeria L.A. (Eds) Cardiovascular surgery: Guide. Moscow: Meditsina; 1989: 589–91 (in Russ.).]
  11. Ferguson J.J. III, Cohen M., Freedman R.J. Jr., Stone G.W., Miller M.F., Joseph D.L. et al. The current practice of intra-aortic balloon counterpulsation: results from the Benchmark Registry. J. Am. Coll. Cardiol. 2001; 38: 1456–62. DOI: 10.1016/S0735-1097(01)01553-4
  12. Bolooki H., Williams W., Thurer R.J., Vargas A., Kaiser G.A., Mack F. et al. Clinical and hemodynamic criteria for use of intra-aortic balloon pump in patients requiring cardiac surgery. J. Thorac. Cardiovasc. Surg. 1976; 72 (4): 756–68.
  13. Ihdayhid A.R., Chopra S., Rankin J. Intra-aortic balloon pump: indications, efficacy, guidelines and future directions. Curr. Opin. Cardiol. 2014; 29 (4): 285–92. DOI: 10.1097/HCO.0000000000000075
  14. Christenson J.T., Badel P., Simonet F., Schmuziger M. Preoperative intraaortic balloon pump enhances car- diac performance and improves the outcome of redo CABG. Ann. Thorac. Surg. 1997; 64: 1237–44. DOI: 10.1016/S0003-4975(97)00898-9
  15. Buckley M.J. Intra-aortic balloon pumping in the management of patients with coronary artery disease. Clev. Clin. Quart. 1978; 45 (9): 72–5. DOI: 10.3949/ccjm.45.1.72
  16. O'Gara P.T., Kushner F.G., Ascheim D.D., Casey D.E. Jr., Chung M.K., de Lemos J.A. et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Catheter. Cardiovasc. Interv. 2013; 82: 1–27. DOI: 10.1002/ccd.24776
  17. Thiele H., Zeymer U., Neumann F.J., Ferenc M., Olbrich H.G., Hausleiter J. et al. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013; 382: 1638–45. DOI: 10.1016/S0140-6736(13)61783-3
  18. Perera D., Stables R., Redwood S.R. Intra-aortic balloon pump for high-risk percutaneous coronary intervention. Circ. Cardiovasc. Interv. 2014; 7: 712–20. DOI: 10.1001/jama.2010.1700
  19. Khera R., Cram P., Vaughan-Sarrazin M., Horwitz P.A., Girotra S. Use of mechanical circulatory support in percutaneous coronary intervention in the United States. Am. J. Cardiol. 2016; 117 (1): 10–6. DOI: 10.1016/j.amjcard.2015.10.005
  20. Pilarczyka K., Boeningb A., Jakoba H. Preoperative intra-aortic counterpulsation in high-risk patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials. Eur. J. Cardio-Thorac. Surg. 2015; 48 (2): 1–13. DOI: 10.1093/ejcts/ezv258
  21. Kettner J., Sramko M., Holek M., Pirk J., Kautzner J. Utility of intra-aortic balloon pump support for ventricular septal rupture and acute mitral regurgitation complicating acute myocardial infarction. Am. J. Cardiol. 2013; 112: 1709–13. DOI: 10.1016/j.amjcard.2013.07.035
  22. Levine G.N., Bates E.R., Blankenship J.C., Bailey S.R., Bittl J.A., Cercek B. et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011; 124: 2574–609. DOI: 10.1161/circulationaha.105.170815
  23. Theologou T., Bashir M., Rengarajan A., Khan O., Spyt T., Richens D. et al. Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting. Cochrane Database Syst. Rev. 2011; 1: CD004472. DOI: 10.1002/14651858.cd004472.pub3
  24. McNamara M.W., Dixon S.R., Goldstein J.A. Impact of intraaortic balloon pumping on hypotension and outcomes in acute right ventricular infarction. Coron. Artery. Dis. 2014; 25: 602–7. DOI:10.1097/mca.0000000000000139
  25. Darrah W.C., Sharpe M.D., Guiraudon G.M., Neal A. Intraaortic balloon counterpulsation improves right ventricular failure resulting frompressure overload. Ann. Thorac. Surg. 1997; 64: 1718–23. DOI: 10.1016/s0003-4975(97)01102-8
  26. Arafa O.E., Geiran O.R., Andersen K., Fosse E., Simonsen S., Svennevig J.L. Intraaortic balloon pumping for predominantly right ventricular failure after heart transplantation. Ann. Thorac. Surg. 2000; 70: 1587–93. DOI: 10.1016/s0003-4975(00)01864-6
  27. Freed P.S., Wasfie T., Zado B., Kantrowitz A. Intraaortic balloon pumping for prolonged circulatory support. Am. J. Cardiol. 1988; 61: 554–7. DOI:10.1016/0002-9149(88)90763-1
  28. Cochran R.P., Starkey T.D., Panos A.L., Kunzelman K.S. Ambulatory intraaortic balloon pump use as bridge to heart transplant. Ann. Thorac. Surg. 2002; 74: 746–51 (discussion 751–2). DOI: 10.1016/s0003-4975(02)03808-0
  29. Gjesdal O., Gude E., Arora S., Leivestad T., Andreassen A.K., Gullestad L. et al. Intra-aortic balloon counterpulsation as a bridge to heart transplantation does not impair long-term survival. Eur. J. Heart Fail. 2009; 11: 709–14. DOI: 10.1093/eurjhf/hfp078
  30. Fotopoulos G.D., Mason M.J., Walker S., Jepson N.S., Patel D.J., Mitchel A.J. et al. Stabilisation of medically refractory ventricular arrhythmia by intra-aortic balloon counterpulsation. Heart. 1999; 82: 96–100. DOI:10.1136/hrt.82.1.96
  31. Савченко Я.В. (ред.) Внутриаортальная баллонная контрпульсация. URL: https://www.youtube.com/watch?v=i4okw9BGY8Y&t=462s (дата обращения 19.05.2018). [Savchenko Y.V. (Ed.) Intraaortic balloon counterpulsation (in Russ.). Available at: https://www.youtube.com/watch?v=i4okw9BGY8Y&t=462s (accessed 19 May 2018).]
  32. Kolyva C., Pepper J.R., Khir A.W. Newly shaped intraaortic balloons improve the performance of counterpulsation at the semi-recumbent position: an in vitro study. Artif. Organs. 2016; 40 (8): 146–57. DOI:10.1111/aor.12791
  33. Ran Z.L., Rao Y.J., Liu W.J., Liao X., Chiang K.S. Laser-micromachined Fabry-Perot toptical fiber tip sensor for high-resolution temperature-independent measurement of refractive index. Opt. Exp. 2008; 16: 2252–63. DOI: 10.1364/oe.16.002252
  34. Darovic G.O., Saunders W.B. Haemodynamic monitoring. Invasive and non-invasive clinical application. Intensive Care Med. 1988; 14: 255–7. DOI:10.1007/bf00718009
  35. Roriz P., Frazao O., Lobo-Ribeiro A.B., Santos J.L., Simoes J.A. Review of fiber-optic pressure sensors for biomedical and biomechanical applications. J. Biomed. Opt. 2013; 18: 050903. DOI: 10.1117/1.JBO.18.5.050903
  36. Xu F., Ren D., Shi X., Li C., Lu W., Lu L., Yu B. Highsensitivity Fabry-Perot interferometric pressure sensor based on a nanothick silver diaphragm. Opt. Lett. 2012; 37: 133–5. DOI: 10.1364/OL.37.000133
  37. Gao R., Jiang Y., Ding W., Wang Z., Liu D. Filmed extrinsic Fabry-Perot inter-ferometric sensors for the measurement of arbitrary refractive index of liquid. Sens. Actuat. B. Chem. 2013; 177: 924–8. DOI:10.1016/j.snb.2012.11.083
  38. Bae H., Yu M. Miniature Fabry-Perot pressure sensor created by using UV-molding process with an optical fiber based mold. Opt. Exp. 2012; 20: 14573–83. DOI: 10.1364/OE.20.014573
  39. Chen L.H., Chan C.C., Yuan W., Goh S.K., Sun J. High performance chitosandiaphragm-based fiberoptic acoustic sensor. Sens. Actuat. A. Phys. 2010; 163: 42–7. DOI: 10.1016/j.sna.2010.06.023
  40. Bremer K., Lewis E., Moss B., Leen G., Lochmann B., Mueller I.A.R. Feedback stabilized interrogation technique for EFPI/FBG hybrid fiber-optic pressure and temperature sensors. IEEE Sens. J. 2012; 12: 133–8. DOI: 10.1109/JSEN.2011.2140104
  41. Mulholland J., Yarham G., Clements A., Morris C., Loja D. Mechanical left ventricular support using a 50 cc Fr fibre-optic intra-aortic balloon technology: a case report. Perfusion. 2013; 28: 109–13. DOI:10.1177/0267659112454912
  42. Pinet E ′., Pham A., Rioux S. Miniature fiber optic pressure sensor for medical applications: an opportunity for intra-aortic balloon pumping (IABP) therapy. Proceed. SPIE Intern. Soc. Optical Engineer. 2005; 5855: 234–7. DOI: 10.1117/12.623806
  43. Hamel C., Pinet E. Pressure fiber-optic sensors in intra-aortic balloon pumping therapy. In: European Medical Device Manufacturer Editorial: Sensors and transducers integrate in medical equipment or used in manufacturing process. 2006: 1–3. DOI: 10.1117/12.623806
  44. Yarham G., Clemments A., Morris C., Cumberland T., Bryan M., Oliver M. et al. Fiber-optic intra-aortic balloon therapy and its role as a mechanical assist device. Perfusion. 2012; 28 (2): 97–102. DOI: 10.1177/0267659112454156
  45. Greenberg M.D., Katz N.M., Juliano S., Tempesta B.J., Solomon A.J. Atrial pacing for the prevention of atrial fibrillation after cardiovascular surgery. J. Am. Coll. Cardiol. 2000; 35 (6): 1416 –22. 46. Sakamoto T., Arai H., Maruyama T., Suzuki A. New algorithm of intra-aortic balloon pumping in patients with atrial fibrillation. ASAIO J. 1995; 41: 79–83. DOI:10.1097/00002480-199501000-00013
  46. Бокерия Л.А., Залум Н.Х.Ю. Осложнения внутриаортальной баллонной контрпульсации. Сердечно-сосудистые заболевания. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2007; 8 (3): 40–6. [Bockeria L.A., Zalum N.Kh.Yu. The intraaortic balloon counterpulsation complications. Bulletin of Bakoulev Center for Cardiovascular Diseases. 2007; 8 (3): 40–6 (in Russ.).]
  47. Бокерия Л.А., Шаталов К.В., Свободов А.А. Системы вспомогательного и заместительного кровообращения. М.: НЦССХ им. А.Н. Бакулева РАМН; 2000: 15–6, 44–66. [Bockeria L.A., Shatalov K.V., Svobodov A.A. Systems of auxiliary and replacement blood circulation. Moscow; 2000: 15–6, 44–66 (in Russ.).]

About Authors

  • Bockeria Leo Antonovich, Dr. Med. Sc., Professor, Academician of RAS and RAMS, Director; orcid.org/0000-0002-6180-2619
  • Rumyantsev Leonid Nikolaevich, Postgraduate; orcid.org/0000-0001-5495-9565

 If you found mistakes, select text and press Alt+A