Document Detail


Hemopump support for the failing heart.
MedLine Citation:
PMID:  2252769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Under fluoroscopy, the hemopump is passed through the aortic valve into the left ventricle through a Gortex (WF Gore, Denver, CO) chimney sewn to a surgically exposed femoral artery. The system aspirates the left ventricular blood and actively pumps it into the aorta. Five patients (four men, one woman), aged 47-71 years (mean, 62 years), were candidates for hemopump support because of refractory cardiogenic shock. Three were recovering from repeated coronary artery bypass graft (CABG) surgery, and two required postoperative emergency CABG for failed percutaneous transluminal coronary angioplasty (PTCA). One patient died during insertion, and four had the hemo-pump successfully placed. All patients had low cardiac out-put and had intraaortic balloons in place. Average insertion time took 20 min, with maintenance on the hemopump for an average of 13 hr. One patient was maintained on the hemopump for 12 hr, but because of continued deterioration, was placed on a total artificial heart (Harvik 7-70). Patients 3 (hemopump inserted transthoracically) and 4 had the hemopump discontinued because of brain death, and the fifth survived. This patient is alive and working 1 yr later. The hemopump is an effective left ventricular support system that is less invasive than conventional transthoracic systems.
Authors:
S J Phillips; L Barker; B Balentine; J Vanderhaar; D Slonine; M Core; R H Zeff; C Kongtahworn; J R Skinner; A Grignon
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  ASAIO transactions / American Society for Artificial Internal Organs     Volume:  36     ISSN:  0889-7190     ISO Abbreviation:  ASAIO Trans     Publication Date:    1990 Jul-Sep
Date Detail:
Created Date:  1991-01-22     Completed Date:  1991-01-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8611947     Medline TA:  ASAIO Trans     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  M629-32     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine and Surgery, Mercy Hospital Medical Center, Des Moines, Iowa.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass*
Female
Heart Failure / therapy*
Heart-Assist Devices*
Hemodynamics / physiology
Humans
Male
Middle Aged
Myocardial Infarction / surgery*
Postoperative Complications / therapy*
Reoperation
Shock, Cardiogenic / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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