Abstract
Between January 1990 and September 1992, ten patients required assisted circulation for postcardiotomy heart failure which was unresponsive to inotropic drugs and aortic counterpulsation. All patients were supported by a Bio-Medicus centrifugal pump (biventricular assist in five, left ventricular in three, right ventricular in two); six had ischaemic heart disease, two a congenital ventricular septal defect, one an acute mitral valve incompetence and one an aortic type 'A' dissection. The mean duration of circulatory support was 5.1 days (range 2 hours to 8 days). Six patients were weaned from the device and four were discharged; the perioperative deaths among the patients weaned from support were the result of cerebral haemorrhage and multiorgan failure respectively. No late deaths occurred at a mean follow-up of 15 months. Common complications were bleeding (40%), acute renal failure (30%) and sepsis (30%). All patients who developed renal failure died. The high incidence of haemorrhagic complications makes the use of pre-heparinized circuits desirable as these patients do not then require additional anticoagulation.
| Original language | English |
|---|---|
| Pages (from-to) | 630-633 |
| Number of pages | 4 |
| Journal | Cardiovascular Surgery |
| Volume | 2 |
| Issue number | 5 |
| Publication status | Published - Oct 1994 |
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Keywords
- cardiogenic shock
- centrifugal pump
- ventricular assist device
ASJC Scopus subject areas
- Surgery
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
Assisted circulation in postcardiotomy heart failure : experience with the Bio-Medicus centrifugal pump in ten patients. / Paolini, G.; Triggiani, M.; Di Credico, G.; Pocar, M.; Stefano, P.; Montorsi, E.; Simeone, F.; Paolillo, G.; Grossi, A.
In: Cardiovascular Surgery, Vol. 2, No. 5, 10.1994, p. 630-633.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Assisted circulation in postcardiotomy heart failure
T2 - experience with the Bio-Medicus centrifugal pump in ten patients
AU - Paolini, G.
AU - Triggiani, M.
AU - Di Credico, G.
AU - Pocar, M.
AU - Stefano, P.
AU - Montorsi, E.
AU - Simeone, F.
AU - Paolillo, G.
AU - Grossi, A.
PY - 1994/10
Y1 - 1994/10
N2 - Between January 1990 and September 1992, ten patients required assisted circulation for postcardiotomy heart failure which was unresponsive to inotropic drugs and aortic counterpulsation. All patients were supported by a Bio-Medicus centrifugal pump (biventricular assist in five, left ventricular in three, right ventricular in two); six had ischaemic heart disease, two a congenital ventricular septal defect, one an acute mitral valve incompetence and one an aortic type 'A' dissection. The mean duration of circulatory support was 5.1 days (range 2 hours to 8 days). Six patients were weaned from the device and four were discharged; the perioperative deaths among the patients weaned from support were the result of cerebral haemorrhage and multiorgan failure respectively. No late deaths occurred at a mean follow-up of 15 months. Common complications were bleeding (40%), acute renal failure (30%) and sepsis (30%). All patients who developed renal failure died. The high incidence of haemorrhagic complications makes the use of pre-heparinized circuits desirable as these patients do not then require additional anticoagulation.
AB - Between January 1990 and September 1992, ten patients required assisted circulation for postcardiotomy heart failure which was unresponsive to inotropic drugs and aortic counterpulsation. All patients were supported by a Bio-Medicus centrifugal pump (biventricular assist in five, left ventricular in three, right ventricular in two); six had ischaemic heart disease, two a congenital ventricular septal defect, one an acute mitral valve incompetence and one an aortic type 'A' dissection. The mean duration of circulatory support was 5.1 days (range 2 hours to 8 days). Six patients were weaned from the device and four were discharged; the perioperative deaths among the patients weaned from support were the result of cerebral haemorrhage and multiorgan failure respectively. No late deaths occurred at a mean follow-up of 15 months. Common complications were bleeding (40%), acute renal failure (30%) and sepsis (30%). All patients who developed renal failure died. The high incidence of haemorrhagic complications makes the use of pre-heparinized circuits desirable as these patients do not then require additional anticoagulation.
KW - cardiogenic shock
KW - centrifugal pump
KW - ventricular assist device
UR - http://www.scopus.com/inward/record.url?scp=0027942803&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027942803&partnerID=8YFLogxK
M3 - Article
C2 - 7820527
AN - SCOPUS:0027942803
VL - 2
SP - 630
EP - 633
JO - Cardiovascular Surgery
JF - Cardiovascular Surgery
SN - 0967-2109
IS - 5
ER -