Simultaneous separate assessment of the cardiac and LVAD output.
The electroimpedance indicators' dilution (EIID) technique was used to study the possibility of a simultaneous separate assessment of the biological heart and LVAD performance in the position of LVB. The experimental part of the research was performed on 5 dogs; an artificial ventricle of the pulsing type (USA) with cusps was used as a pump. The clinical part of the work was conducted on 5 patients after open-heart surgery who had the clinical picture of postcardiotomy cardiogenic shock; a centrifugal pump "Biopump" (Medtronic, USA) was used. The authors have shown a principally important possibility of applying the EIID, technique for studying the performance curves which are the integral derivatives of the work of a specific hybrid system--"the biological heart-assist device". From the practical viewpoint the EIID technique permits in the read time mode to control continuously the part of the pumping function which is assumed by the patient's own heart. This information can serve as the basis for making the prognosis and determining the further tactics of treatment; the restoration of the heart performance or its replacement by transplantation.
Chaus
N I
NI
Department of Cardiosurgery, National Research Center of Surgery, Moscow, Russia.
Kislukhin
V V
VV
Smirnov
S S
SS
Ivanov
A S
AS
Zhidkov
I L
IL
Burtsev PYu
Eremenko
A A
AA
Dzemeshkevich
S L
SL
Pentalos
G M
GM
Kolff
W J
WJ
D000818:Animals; D002302:Cardiac Output / Q000502:physiology*; D004285:Dogs; D017097:Electric Impedance; D006321:Heart / Q000502:physiology*; D018611:Heart Bypass, Left; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D007201:Indicator Dilution Techniques; D008991:Monitoring, Physiologic / Q000379:methods*; D012770:Shock, Cardiogenic / Q000628:therapy