Clinical use of the abiomed BVS 5000 as a pulsatile extracorporeal membrane oxygenation unit.
The traditional extracorporeal membrane oxygenation circuit uses a centrifugal pump. These pumps require close monitoring and are subject to complications. In addition, they do not take advantage of the potential benefits of pulsatile flow. These extracorporeal membrane oxygenation circuits use a single pump with an inline oxygenator. If cardiac failure persists after respiratory recovery has occurred, removal of the oxygenator requires an additional procedure to convert the patient to biventricular support. This report describes a circuit in which an oxygenator is connected to a pulsatile ventricular assist device. Single and dual circuit configurations are illustrated. Recommendations for pulmonary care during support are also described.
Samuels
Louis
L
The Lankenau Hospital, Department of Cardiothoracic Surgery, Wynnewood, PA, USA.
Entwistle
John
J
Holmes
Elena
E
Eaton
Doug
D
Thomas
Matthew P
MP
Menzano
Gina
G
Promisloff
Robert
R
D017130:Angioplasty; D002985:Clinical Protocols; D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000503:physiopathology / Q000601:surgery; D004231:Diuresis / Q000187:drug effects; D004232:Diuretics / Q000494:pharmacology; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D005665:Furosemide / Q000494:pharmacology; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D009203:Myocardial Infarction / Q000628:therapy; D010107:Oxygenators, Membrane; D011184:Postoperative Period; D011673:Pulsatile Flow; D018805:Sepsis; D012770:Shock, Cardiogenic / Q000628:therapy
D004232:Diuretics; D005665:Furosemide