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Short-term Mechanical Circulatory Support with Centrifugal Pump in Cardiac Arrest or Cardiogenic Shock - Report of 5 cases-  

양희철 (성균관대학교 의과대학 삼성서울병원 흉부외과)
성기익 (성균관대학교 의과대학 삼성서울병원 흉부외과)
뱍계현 (성균관대학교 의과대학 삼성서울병원 흉부외과)
전태국 (성균관대학교 의과대학 삼성서울병원 흉부외과)
박표원 (성균관대학교 의과대학 삼성서울병원 흉부외과)
양지혁 (성균관대학교 의과대학 삼성서울병원 흉부외과)
이영탁 (성균관대학교 의과대학 삼성서울병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.37, no.12, 2004 , pp. 1003-1009 More about this Journal
Abstract
Mechanical circulatory support (MCS) has been used for myocardium failure, but moreover, it may be essential for the life support in cardiac arrest or cardiogenic shock. Many commercial devices can be used effectively for the long-term support. However, there are some limitations in the aspects of the cost and technical support by production company. Short-term support with centrifugal type has been reported numerously with the purpose of bridging to heart transplantation or recovery. We successfully treated 5 patitents who were in the status of cardiogenic shock (n=3) or arrest (n=2) with the technique of extracorporeal life support system (ECLS) or left ventricular assist device (LVAD) using the centrifugal type pump. The MCS were performed emergently (n=2) under cardiac arrest caused by ischemic heart disease, and urgently (n=3) under cardiogenic shock with ischemic heart disease (n=1) or acute fulminant viral myocarditis (n=2). All patients were weaned from MCS. Complications related to the use of MCS were bleeding and acute renal failure, but there were no major complications related to femoral cannulations. Mechanical circulatory support may be essential for the life support and rescue in cardiac arrest or cardiogenic shock.
Keywords
Assisted circulation; Cardiopulmonary bypass; Cardiogenic shock; Cardiac arrest;
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