Recent advances in assisted circulation using centrifugal pump in surgical and non-surgical patients with acute heart failure or related conditions.
During the last 3 years, left or bi-ventricular support using a centrifugal pump as a ventricular assistance device was performed in 10 patients after open heart surgery. The basic lesions were coronary heart disease in 8 and valvular disease in 2 patients. Bypass support ranged in time from 33 to 240 h (average 114 h), and 3 patients received biventricular support. Six patients have survived in this group. Other supportive methods, in the form of emergency or elective use of portable cardiopulmonary bypass support, were used in 8 patients; 4 with cardiogenic shock and 4 for supported percutaneous coronary angioplasty. These assisted circulations appear to be useful and promising in the management of the critical cardiac patient.
Matsuda
H
H
First Department of Surgery, Osaka University Medical School, Japan.
Kaneko
M
M
Matsuwaka
R
R
Nakano
S
S
Shirakura
R
R
Kobayashi
T
T
Sakai
K
K
Sakakibara
T
T
Masai
T
T
Kawashima
Y
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001243:Assisted Circulation / Q000295:instrumentation; D002303:Cardiac Output, Low / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation; D002498:Centrifugation; D003327:Coronary Disease / Q000601:surgery / Q000628:therapy; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged