The last rites for routine Swan Ganz catheterisation ( In STEMI ) was performed by a land mark JAMA article in 1996 .
Now . . . is the turn for intra aortic balloon counter pulsation (IABP) .
A conceptually attractive concept was laid to rest in Munich ,West Germany , this week at annual European society of cardiology , Scientific Sessions .August 2012 .
What a crash for a great hemo-dynamic principle in acute MI which ruled the roost for over three decades !
Just Imagine , how many man hours , millions of worth of consumables wasted . . . better not to talk about associated aortic injuries .
This is what we call “premature evidence based harm”
I wonder . . . whether I am justified in making this extreme comment .
Please read for yourself , this early online release alert from NEJM .
http://www.nejm.org/doi/pdf/10.1056/NEJMoa1208410
Reference
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2352214/pdf/bmj00561-0005.pdf
Dr.S.Venkatesan MD 
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