[Extracorporeal circulatory assistance with centrifugal pumps in postcardiotomy low-output syndrome].
From 6/86 to 5/89 seven out of 1700 (0.4%) open heart patients had to be assisted with centrifugal pumps for postcardiotomy low cardiac output syndrome. In 4 cases a left ventricular assist device (LVAD) was used, one case each had a right ventricular assist device (RVAD), an extracorporeal membrane oxygenation (ECMO) and a biventricular assist device (BVAD) with ECMO and ultrafiltration. The last 3 patients were assisted non-pulsatile without intraaortic balloon counterpulsation (IABP) and no impairment of vital organ function was observed. Four out of 7 patients could be weaned from the assist device after a mean of 30 hours (0.5-48). Three patients became long-term survivors with 2 assisted non-pulsatile. Transesophageal echocardiography (TEE) was used to determine the timing for wean off and was found to be an important adjunct to the monitoring of filling--and systemic pressure.
Jakob
H
H
Klinik für Herz-, Thorax- und Gefässchirurgie, Kliniken der Johannes Gutenberg-Universität Mainz.
Stürer
A
A
Palzer
B
B
Maass
D
D
Iversen
S
S
Oelert
H
H
D000328:Adult; D002303:Cardiac Output, Low / Q000401:mortality / Q000601:surgery*; D003327:Coronary Disease / Q000401:mortality / Q000601:surgery*; D006322:Heart Aneurysm / Q000601:surgery*; D006353:Heart-Assist Devices; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery*
Extrakorporale Kreislaufassistenz mit Zentrifugalpumpen beim Postkardiotomie-low-output-Syndrom.