Future perspectives of intra-aortic balloon pumping for cardiogenic shock

Takeo Fujino, Teruhiko Imamura, Koichiro Kinugawa

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


An intra-aortic balloon pump (IABP) is a device of internal counterpulsation. Inflation of the balloon in di-astole results in a potential increase in coronary blood flow and an improvement in systemic perfusion, and de-flation at the end of diastole reduces left ventricular afterload, although the hemodynamic effects are relatively small. With its favorable safety profile due to fewer adverse events, IABP has been used for more than 5 dec-ades as the most common mechanical circulatory support device for cardiogenic shock. Recently, however, other short-term devices have become available, and the position of IABP for cardiogenic shock is rapidly changing. Meanwhile, novel improvements in knowledge and technology are pushing the boundaries of this device. In this review, we summarize the basic physiology and current evidence of this device and then discuss the outlook and implications of IABP in the future.

Original languageEnglish
Pages (from-to)424-428
Number of pages5
JournalInternational heart journal
Issue number3
Publication statusPublished - 2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine


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