title: [Extracorporeal circulatory assistance with centrifugal pumps in postcardiotomy low-output syndrome].
abstract: 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.
authors.affiliation: Klinik für Herz-, Thorax- und Gefässchirurgie, Kliniken der Johannes Gutenberg-Universität Mainz.
authors.forename: H
authors.initials: H
authors.lastname: Jakob
authors.forename: A
authors.initials: A
authors.lastname: Stürer
authors.forename: B
authors.initials: B
authors.lastname: Palzer
authors.forename: D
authors.initials: D
authors.lastname: Maass
authors.forename: S
authors.initials: S
authors.lastname: Iversen
authors.forename: H
authors.initials: H
authors.lastname: Oelert
mesh_terms: 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*
vernacular_title: Extrakorporale Kreislaufassistenz mit Zentrifugalpumpen beim Postkardiotomie-low-output-Syndrom.