Short-term Mechanical Circulatory Support with Centrifugal Pump in Cardiac Arrest or Cardiogenic Shock: Report of 5 cases.
- Author:
Hee Chul YANG
1
;
Young Tak LEE
;
Kiick SUNG
;
Kay Hyun PARK
;
Tae Gook JUN
;
Pyo Won PARK
;
Ji Hyuk YANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, Sungkyunkwan University School of Medicine, Korea. ytlee55@yahoo.com
- Publication Type:Case Report
- Keywords:
Assisted circulation;
Cardiopulmonary bypass;
Cardiogenic shock;
Cardiac arrest
- MeSH:
Acute Kidney Injury;
Assisted Circulation;
Cardiopulmonary Bypass;
Catheterization;
Heart Arrest*;
Heart Transplantation;
Heart-Assist Devices;
Hemorrhage;
Humans;
Life Support Systems;
Myocardial Ischemia;
Myocarditis;
Myocardium;
Shock, Cardiogenic*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(12):1003-1009
- CountryRepublic of Korea
- Language:Korean
-
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.
