Intraaortic balloon counterpulsation in a community hospital.

Our experience with intraaortic balloon counterpulsation in 41 patients documents the feasibility of a coordinated aggressive therapeutic approach in patients with potentially fatal complications of coronary artery disease. The use of intraaortic balloon pump in a noncardiac surgical center has allowed hemodynamic support in the critically ill, safety in angiography, appropriate selection of patients for surgery, and safe transportation to a cardiac surgery center when indicated.