Dana Adams has written: 'Intra-aortic balloon counterpulsation--how to do it' -- subject(s): Intra-aortic balloon counterpulsation
33967,93555,93556
Intra-Aortic Balloon Pump
The CPT code for intra-aortic balloon pump (IABP) insertion is 92987. This code specifically refers to the insertion of an intra-aortic balloon for temporary support of the heart in patients with certain cardiac conditions. It's important to ensure that the code is applied correctly based on the specific clinical scenario and documentation.
The intra-aortic balloon pump inflates during diastole to increase coronary artery perfusion and cardiac output, and deflates during systole to reduce afterload on the heart.
I21.3
The intra-aortic balloon pump (IABP) is timed to deflate just before systole, specifically at the onset of the R-wave on the ECG. This timing allows for optimal coronary perfusion by promoting diastolic blood flow during the heart's relaxation phase. The balloon inflates during diastole to increase blood flow to the coronary arteries and deflates before the heart contracts to reduce afterload. Proper timing is crucial for maximizing hemodynamic support.
33967 (In the 2013 CPT, look under this in the Index.....Balloon Assisted Device, Aorta)
Helium gas is used in intra-aortic balloon pumps because it is lighter than air, which allows for faster deflation and inflation of the balloon. This rapid action helps to increase oxygen delivery to the heart and improve circulation during cardiac procedures. Additionally, helium is relatively inert and is less likely to be absorbed into the bloodstream, reducing the risk of embolisms.
The dicrotic notch in the pressure waveform of an intra-aortic balloon pump (IABP) represents the closure of the aortic valve and the subsequent rebound of blood against the closed valve. It indicates the end of systole and the beginning of diastole in the cardiac cycle. This feature is crucial for assessing the timing and effectiveness of the IABP's inflation and deflation cycles, which aim to enhance coronary perfusion and reduce cardiac workload. Proper identification of the dicrotic notch helps optimize IABP therapy and ensure adequate hemodynamic support.
An Intra-Aortic Balloon Pump (IABP) is a mechanical device used to support patients with weakened hearts by improving blood flow and oxygen delivery. It consists of a balloon-tipped catheter inserted into the aorta. The balloon inflates during diastole (when the heart relaxes) to increase blood flow to the coronary arteries and deflates before systole (when the heart contracts) to reduce the heart’s workload. This synchronized pumping action helps the heart pump more efficiently, enhances oxygen supply, and stabilizes blood pressure, making the IABP an essential device in managing cardiac failure and during high-risk heart surgeries.
An Intra-Aortic Balloon Pump (IABP) helps in cardiac care by providing temporary mechanical support to a weakened heart. It enhances coronary blood flow and reduces the heart’s workload, allowing it to pump more efficiently. The balloon inflates during diastole to increase oxygen-rich blood supply to the heart muscle and deflates before systole to lower afterload, easing the effort needed for each heartbeat. This process stabilizes blood pressure, improves cardiac output, and ensures vital organs receive adequate oxygen. The IABP is especially valuable in treating cardiogenic shock, acute heart failure, and postoperative cardiac recovery.