IABP: Intra-aortic balloon pump; PCI: Percutaneous coronary intervention; MACCE: Major adverse cardiac and cerebrovascular event; GUSTO: Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries.

What is a intra-aortic balloon device?

An intra-aortic balloon pump (IABP) is a type of therapeutic device. It helps your heart pump more blood. You may need it if your heart is unable to pump enough blood for your body. The IABP consists of a thin, flexible tube called a catheter. Attached to the tip of the catheter is a long balloon.

What is the augmentation on IABP?

The increase in aortic pressure as a result of balloon inflation is called diastolic augmentation. At the onset of systole, the IABP rapidly deflates, causing an area of lowered pressure within the aorta. The lowered aortic pressure decreases impedance or resistance to systolic ejection.

What root operation is an intra-aortic balloon pump coded to?

The IABP is not coded as a device within ICD-10-PCS and is coded with the root operation of “Assistance.” The ICD-10-PCS code for insertion of an IABP for continuous pumping would be 5A02210, Extracorporeal or Systemic Assistance, Physiologic Systems, Assistance, Cardiac, Continuous, Output, Balloon Pump.

Is Impella better than IABP?

Impella improves parameters of shock severity but is associated with higher bleeding complications and has no significant effect on 30-day mortality compared with the use of IABP.

How long can an intra-aortic balloon pump stay in?

The catheter connects to a computer that controls the rate of inflation and deflation. While most patients only use the IABP for a few days, it can stay in place for up to a month.

Which condition is a contraindication for the use of an intra-aortic balloon pump?

Contraindications to intra-aortic balloon pump include: Uncontrolled sepsis. Uncontrolled bleeding diathesis. Moderate to severe aortic regurgitation.

How long can IABP be used?

What does a Dicrotic notch represent?

The dicrotic notch. Most clinicians are familiar with the dicrotic notch seen in any typical arterial pressure waveform. The notch represents the nadir point that occurs immediately after the closure of the aortic valves and precedes the secondary dicrotic wave.

What is the ICD-10-CM code for unstable angina?

I20. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.