Contraindications for insertion of IABP

Contraindications for insertion of IABP (intra aortic balloon counterpulsation)

Aortic regurgitation and aortic disease are contraindications, both are likely to be worsened by the balloon counterpulsation. In aortic regurgitation, the main aim of improving coronary perfusion with IABP will not be achieved. It is interesting to note that diastolic pressure will be more than systolic pressure when IABP is used for cardiogenic shock. The balloon inflation is timed either by the pressure wave or by the ECG to correspond to the diastolic period. The balloon is positioned below the left subclavian origin and above the level of the renal arteries, in the descending aorta.