Postoperative mechanical circulatory support with Biomedicus centrifugal pump.
Despite advances in surgical techniques, myocardial protection, and management protocols, approximately 1% of patients undergoing open heart operations still need mechanical circulatory support for severe cardiac dysfunction. The Biomedicus centrifugal pump, available in most cardiovascular centers, is a highly effective and relatively inexpensive system compared to other more sophisticated devices for the same purpose. Of 10 patients aged 5 to 61 years who were supported for 22 to 168 hours with a Biomedicus centrifugal pump, 7 (70%) were weaned from support, there was one hospital death, and 6 patients were discharged from hospital. Two sudden deaths occurred in the first 8 months after discharge. Four patients (40%) were still alive after follow-up of 11-55 months, with no restriction in their daily activities. The centrifugal pump is a very cost-effective support system with survival rates comparable to those of more sophisticated devices in short-term ventricular assistance.
Mert
Murat
M
Department of Cardiovascular Surgery, Institute of Cardiology, Istanbul University, Ortaklar Cad. Kantasi apt 47/3 daire 4, Mecidiyekoy - 80290, Istanbul, Turkey. mmert@superonline.com
Akcevin
Atif
A
Yildiz
Cenk E
CE
Suzer
Kaya
K
D000293:Adolescent; D000328:Adult; D001243:Assisted Circulation / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D002498:Centrifugation; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome