Pulmonary edema interventional therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]


Intra-aortic balloon pump can be used to achieve hemodynamic stabilization in the patient before definitive therapyIt consists of a cylindrical balloon that sits in the aorta and counterpulsates. That is, it actively deflates in systole increasing forward blood flow by reducing afterload, and actively inflates in diastole increasing blood flow to the coronary arteries.

Interventional Therapy

Intra-Aortic Balloon Pumping

  • Can be used to achieve hemodynamic stabilization in the patient before definitive therapy[1]
  • The intra-aortic balloon pump decreases afterload
  • Procedure:
  • Proper inflation results in an assisted peak diastolic pressure higher than the unassisted peak systolic arterial pressure
  • Proper deflation leads to assisted aortic end-diastolic pressure of approximately 10mm Hg lower than the unassisted end-diastolic pressure


Absolute contraindications for intra-aortic balloon pumping include:

Relative contraindications include:


  1. Stamatelopoulos S, Economides K, Harhalakis N, Adamopoulos S, Saridakis N, Antoniou A, Chaniotis F, Moulopoulos S (1983). "Effect of intraaortic balloon pumping on pulmonary edema in a low compliance high volume model". Life Support Syst. 1 Suppl 1: 9–12. PMID 6336469.

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