PMID: 9436568Jan 22, 1998Paper

Improved results for postcardiotomy cardiogenic shock with the use of implantable left ventricular assist devices

The Annals of Thoracic Surgery
J J DeRoseMehmet C Oz

Abstract

Over the past decade, the use of mechanical circulatory support in patients with postcardiotomy cardiogenic shock has resulted in hospital discharge rates of 25% to 40%. In an attempt to improve patient survival, we initiated a program of early insertion of an implantable Thermocardiosystems Incorporated Heartmate left ventricular assist device in patients who have circulatory failure after having undergone high-risk cardiac operations. Between April 1993 and February 1997, 12 patients underwent insertion of an implantable left ventricular assist device for postcardiotomy cardiogenic shock after coronary artery bypass grafting. Indications for insertion included postoperative cardiogenic shock (7 patients), postoperative cardiac arrest (3 patients), and failure to wean from cardiopulmonary bypass (2 patients). The median time to device insertion was 3.5 days. The mean duration of left ventricular assist device support was 103 +/- 19 days (range, 2 to 225 days). Nine of 11 patients (82%) survived to undergo either transplantation (8 patients) or explantation (1 patient), with successful hospital discharge of all 9 patients. The major complication was device-related infection (42%). A single thromboembolism occurred in a patient ...Continue Reading

References

Jan 1, 1990·The Annals of Thoracic Surgery·J E BavariaL H Edmunds
Aug 1, 1983·The Annals of Thoracic Surgery·D G PenningtonG C Kaiser
May 1, 1995·The Annals of Thoracic Surgery·D J GoldsteinM C Oz
Jun 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R R VijayanagarS S Weinstein
Sep 1, 1994·Artificial Organs·T MurakamiN Shimizu
Jan 1, 1996·The Annals of Thoracic Surgery·J J CurtisC A McKenney
Jan 1, 1996·The Annals of Thoracic Surgery·G K Jett
Jan 1, 1996·The Annals of Thoracic Surgery·E A Rose, D J Goldstein
Feb 1, 1996·The Annals of Thoracic Surgery·D D MuehrckeD M Cosgrove
Jul 1, 1995·Artificial Organs·G P NoonH T Papaconstantinou
Aug 1, 1996·The Annals of Thoracic Surgery·B PeterzénH Rutberg
Sep 1, 1996·The Annals of Thoracic Surgery·K A CataneseM C Oz

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Citations

May 15, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Ken-ichi ImasakaHisataka Yasui
Mar 27, 2001·The Annals of Thoracic Surgery·N G Smedira, E H Blackstone
Jun 7, 2003·Cardiology Clinics·Louis E Samuels, Eduardo S Darzé
Jun 11, 1999·Journal of the American College of Cardiology·J M ChenM C Oz
Oct 31, 2002·Artificial Organs·Jack J CurtisColette C Wagner-Mann
Oct 8, 2009·Biomedizinische Technik. Biomedical Engineering·Jan SpillnerRüdiger Autschbach
Mar 17, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Carrie M CarrPhilip A Araoz
Mar 27, 2012·Medicina intensiva·J L Pérez VelaUNKNOWN Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP de SEMICYUC, con el aval científico de la SEMICYUC
Oct 12, 2010·The Journal of Thoracic and Cardiovascular Surgery·Claudio F RussoLuigi Martinelli
Jul 24, 2007·Heart Failure Clinics·Stephen WestabyR Sayeed
May 11, 2006·Journal of Cardiac Surgery·Subroto PaulJohn G Byrne
Mar 28, 2006·The Annals of Thoracic Surgery·Bradley G LeshnowerMichael A Acker
Feb 16, 2002·The Annals of Thoracic Surgery·Wen-Je KoYih-Sharng Chen
Apr 28, 2004·The Annals of Thoracic Surgery·Michael J JurmannRoland Hetzer
Jan 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ardawan Julian RastanFriedrich Wilhelm Mohr
Oct 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·R SharonyG Uretzky
Mar 13, 2012·The Journal of Thoracic and Cardiovascular Surgery·Bartley P GriffithO Howard Frazier
Apr 1, 2004·The Surgical Clinics of North America·Satoshi SaitoStephen Westaby
Aug 6, 2009·Journal of Intensive Care Medicine·Bahman ShamlooNicola D'Attellis
Nov 25, 2003·Journal of Interventional Cardiology·Michael P SiegenthalerFriedhelm Beyersdorf
Dec 6, 2003·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Branislav RadovancevicO H Frazier
Oct 16, 2002·Circulation·Diego H DelgadoNicholas G Smedira
Aug 8, 2007·Circulation·Daniel Marelli, Richard J Shemin
Sep 11, 2009·Acute Cardiac Care·Antonis A Pitsis, Aikaterini Visouli
May 29, 2000·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·O ReitanH Ohlin
Feb 5, 2002·Journal of Cardiac Surgery·N Moazami, N G Smedira
Aug 24, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Joanna TohmeAdrien Bouglé
Sep 24, 2011·The Annals of Thoracic Surgery·Khaled D AlgarniTerrence M Yau

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