Feb 11, 2016

Importance of mechanical assist devices in acute circulatory arrest

Herzschrittmachertherapie & Elektrophysiologie
Markus Wolfgang Ferrari

Abstract

Mechanical assist devices are indicated for hemodynamic stabilization in acute circulatory arrest if conventional means of cardiopulmonary resuscitation are unable to re-establish adequate organ perfusion. Their temporary use facilitates further diagnostic and therapeutic options in selected patients, e.g. coronary angiography followed by revascularization.External thorax compression devices allow sufficient cardiac massage in case of preclinical or in-hospital circulatory arrest, especially under complex transfer conditions. These devices perform standardized thorax compressions at a rate of 80-100 per minute. Invasive mechanical support devices are used in the catheter laboratory or in the intensive care unit. Axial turbine pumps, e.g. the Impella, continuously pump blood from the left ventricle into the aortic root. The Impella can also provide right ventricle support by pumping blood from the vena cava into the pulmonary artery. So-called emergency systems or ECMO devices consist of a centrifugal pump and a membrane oxygenator allowing complete takeover of cardiac and pulmonary functions. Withdrawing blood from the right atrium and vena cava, oxygenated blood is returned to the abdominal aorta. Isolated centrifugal pumps pr...Continue Reading

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Mentioned in this Paper

Entire Vena Cava
Circulatory System
Body Parts - Cannula
Specimen Type - Cannula
Myocardial Disorder
Left Ventricular Structure
Emergency Care
Right Ventricular Structure
Myocardium
Basic Cardiac Life Support

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