Skip to main content
SpringerLink
Log in

The Abiomed BVS 5000 for Treatment of Postcardiotomy Cardiogenic Shock

  • Chapter
Assisted Circulation 4

Abstract

Improvements in myocardial protection techniques during open heart surgery have reduced the incidence of perioperative ventricular failure and myocardial infarction [1, 2]. Despite these advances, postcardiotomy ventricular failure is observed in nearly 4% of all patients undergoing cardiopulmonary bypass (CPB) procedures [3, 4]. Conventional inotropic therapy and/or application of the intraaortic ballon pump (IABP) are indicated in these patients [5, 6]. However, myocardial function does not improve in all these patients, despite these measures. Therefore, for approximately 0.7% of all patients undergoing open heart surgery, more effective circulatory support devices are needed [7]. These temporary mechanical circulatory support devices maintain the systemic and/or pulmonary circulation and unload the left ventricle, creating a condition of myocardial rest in patients with potentially reversible myocardial failure while the myocardium recovers. This report describes our experience in 15 patients with postcardiotomy ventricular failure who were treated with the Abiomed BVS 5000 pulsatile sac-type pump (Abiomed Cardiovascular, Inc., Danvers, MA, USA) [8, 9].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Barner HB, Kaiser GC, Godd JE et al. (1980) Clinical experience with cold blood as the vehicle for hypothermic potassium cardioplegia. Ann Thorac Surg 24:224–227

    Article  Google Scholar 

  2. Buckberg GD (1989) Antegrade/retrograde blood cardioplegia to ensure cardioplegic distribution: operative techniques and objectives. J Cardiac Surg 4:216–238

    Article  CAS  Google Scholar 

  3. Pae WJ Jr, Gaines WE, Pierce WS, Waldhausen JA (1985) Mechanical circulatory assistance for postoperative cardiogenic shock. Surg Rounds 8:49–63

    Google Scholar 

  4. Pennington DG, Samuels LD, Wilhams G et al. (1985) Experience with the Pierce-Donachy ventricular assist device in postcardiotomy patients with cardiogenic shock. World J Surg 9:37–46

    Article  PubMed  CAS  Google Scholar 

  5. Phillips PA, Bregman D (1977) Intraoperative application of intra-aortic balloon counterpulsation determined by clinical monitoring of the endocardial viability ratio. Ann Thorac Surg 23:45–51

    Article  Google Scholar 

  6. McEnany MT, Kay HR, Buckley MJ et al. (1978) Clinal experience with intraaortic balloon pump support in 728 patients. Circulation 58[Suppl]:I-124–132

    Google Scholar 

  7. Maroko PR, Bernstein SF, Libby P et al. (1972) Effects of intra-aortic balloon counterpulsation on the severity of myocardial ischemic injury following acute coronary occlusion. Circulation 45:1150.

    PubMed  CAS  Google Scholar 

  8. Lederman DM (1988) Technical consideration in the development of clinical systems for temporary and permanent cardiac support. In: Akutsu T (ed) Artificial heart, vol 2. Springer, Berlin Heidelberg New York, pp 115–127

    Google Scholar 

  9. Guyton RA, Schönberger JPAM, Everts PAM et al. (1993) Postcardiotomy shock: clinical evaluation of the BVS 5000 biventricular support system. Ann Thorac Surg 56:346–356

    Article  PubMed  CAS  Google Scholar 

  10. Sprung CL, Rackow EC, Civetta JM (1983) Direct measurements and derived calculations using the pulmonary artery catheter. In: Sprung CL (ed) The pulmonary artery catheter, methodology and clinical application. University Park Press, Baltimore, pp 105–140

    Google Scholar 

  11. Stewart WJ, Currie PJ, Salcedo EE et al. (1990) Intraoperative Doppler color flow mapping for decision-making in valve repair for mitral regurgitation. Circulation 81:556–566

    Article  PubMed  CAS  Google Scholar 

  12. Schönberger JP, Everts PA, Bavinck JH et al. (1992) Low-dose aprotinin in uni- and bilateral internal mammary artery bypass surgery. Ann Thorac Surg 54:1172–1177

    Article  PubMed  Google Scholar 

  13. Golding LR, Jacobs G, Groves LK, Gill CC, Nosé Y, Loop FD (1982) Clinical results of mechanical support of the failing left ventricle. J Thorac Cardiovasc Surg 83:597–601

    PubMed  CAS  Google Scholar 

  14. Pennock JL, Pierce WS, Wisman CB, Bull AP, Waldhausen JA (1983) Survival and complications following ventricular assist pumping for cardiogenic shock. Ann Surg 198:469–478

    Article  PubMed  CAS  Google Scholar 

  15. Pierce WS, Rosenberg G, Donachy JH (1987) Postoperative cardiac support with a pulsatile assist pump: techniques and results. J Intern Soc Artif Organs 11:247–251

    Article  CAS  Google Scholar 

  16. Schoen FJ, Bernhard WF, Khuri SF, Koster JK, VanDevanter SJ, Weintraub RM (1982) Pathologic findings in postcardiotomy patients managed with a temporary left ventricular assist pump. Am J Surg 143:508–513

    Article  PubMed  CAS  Google Scholar 

  17. Pennington DG, Codd JE, Merjavy JP et al. (1983) The expanded use of ventricular bypass systems for severe cardiac failure and as a bridge to cardiac transplantation. Heart Transplant 3:38–46

    Google Scholar 

  18. Schoen FJ, Palmer DC, Bernhard WF et al. (1986) Clinical temporary ventricular assist, pathologic findings and their implications in a multi-institutional study of 41 patients. J Thorac Cardiovasc Surg 92:1071–1081

    PubMed  CAS  Google Scholar 

  19. Farrar DJ, Compton PG, Dajee H, Fonger JD, Hill JD (1984) Right heart function during left heart assist and the effects of volume loading in a canine preparation. Circulation 70:708–716

    Article  PubMed  CAS  Google Scholar 

  20. Yada I, Wei CM, Hattori R et al. (1985) Right ventricular function during left heart bypass evaluated by two-dimensional echocardiography. Trans Am Soc Artif Intern Organs 31:17–19

    PubMed  CAS  Google Scholar 

  21. Schoen FJ, LaFarge CG, Bernhard WF (1985) Pathology and pathophysiology of temporary cardiac assist. Am Soc Artif Intern Organs J 8:174–181

    Google Scholar 

  22. Sukehiro S, Flameng W (1990) Effects of left ventricular assist for cardiogenic shock on cardiac function and organ blood flow distribution. Ann Thorac Surg 50:374–383

    Article  PubMed  CAS  Google Scholar 

  23. Pennington DG, McBride LR, Kanter KR, Swartz MT, Miller LW (1988) The effect of acute perioperative myocardial infarction on survival of postcardiotomy patients supported with ventricular assist devices. Circulation 78[Suppl III]:110–115

    Google Scholar 

  24. Penninton DG, Kanter KR, McBride LR et al. (1988) Seven years’ experience with the Pierce- Donachy ventricular assist device. J Thorac Cardiovasc Surg 96:901–911

    Google Scholar 

  25. Al-Mondhiry H, Pierce WS, Richenbacher W, Bull A (1984) Hemostatic abnormalities associated with prolonged ventricular assist pumping: analysis of 24 patients. Am J Cardiol 53:1344–1348

    Article  PubMed  CAS  Google Scholar 

  26. Mcbride LR, Ruzevich SA, Pennington DG (1987) Infectious complications associated with ventricular assist device support. ASAIO Trans 33:201–202

    PubMed  CAS  Google Scholar 

  27. Parascandola SA, Pae WE, Davis PK, Miller CA, Pierce WS, Waldhausen JA (1988) Determinants of survival in patients with ventricular assist devices. Trans Am Soc Artif Intern Organs 34:222–228

    CAS  Google Scholar 

  28. Simon P, Owen AN, Moritz A et al. (1991) Transesophageal echocardiographic evaluation in mechanical assisted circulation. Eur J Cardiothorac Surg 9:492–497

    Article  Google Scholar 

  29. Kyo S, Matsumura M, Takamoto S, Omoto R (1989) Transesophageal color Doppler echocardiography during mechnical assist circulation. ASAIO Trans 35:722–725

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. P. A. M. Everts
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. P. A. M. Schönberger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. H. Peels
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Herzchirurgie Salzburg Landeskrankenanstalten, MĂĽllner Hauptstr. 48, A-5020, Salzburg, Austria

    Felix Unger

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Everts, P.A.M., Schönberger, J.P.A.M., Peels, C.H. (1995). The Abiomed BVS 5000 for Treatment of Postcardiotomy Cardiogenic Shock. In: Unger, F. (eds) Assisted Circulation 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79340-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-79340-0_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79342-4

  • Online ISBN: 978-3-642-79340-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation