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Clinical evaluation of centrifugal pump in left heart bypass for patients with postcardiotomy shock

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Abstract

Clinical experience with the use of the centrifugal pump for left heart bypass was reviewed in patients with postcardiotomy shock in an attempt to improve survival. Twenty-one patients who could not be weaned from cardiopulmonary bypass were reviewed. All patients with postcardiotomy heart failure were supported with a centrifugal pump as left heart bypass. The mean duration of support was 102±66 h. Nine patients (43%) needed right heart bypass through the same median sternotomy because of right heart failure. The weaning rate was 67% and the survival rate was 43%. Twelve patients died. Seven patients were not weaned from the device and died of multiple organ failure, including major bleeding in five patients. The other five patients were weaned from the device but died of low cardiac output syndrome (three patients), infection (one patient), and brain death (one patient). The complications related to the device included bleeding in seven patients (33%), of which only one patients survived. Four patients had stroke (19%), and two of them survived. These data demonstrated that postoperative bleeding and stroke were the major factors affecting survival in patients with postcardiotomy heart failure with a centrifugal pump used as left heart bypass.

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References

  1. Spencer FC, Eiseman B, Trinkle JK, Rossi NP. Assisted circulation for cardiac failure following intracardiac surgery with cardiopulmonary bypass. J Thorac Cardiovasc Surg 1965;49:56–73

    PubMed  CAS  Google Scholar 

  2. Golding LAR, Crouch RD, Stewart RW, Novoa R, Lytle BW, McCarthy PM, Taylor PC, Loop FD, Cosgrove DM. Postcardiotomy centrifugal mechanical ventricular support. Ann Thorac Surg 1992;54:1059–1064

    Article  PubMed  CAS  Google Scholar 

  3. Matsuda H, Matsuwaka R, Kaneko M, Kobayashi T, Miyamoto K, Morisaki H, Kawata H, Tamaki H, Masai T, Nakano S, Kawashima Y. Analysis of clinical factors for survival after left and biventricular bypass using centrifugal pump following open heart surgery in infants and adults. Artif Organs 1990;14:382–396

    PubMed  CAS  Google Scholar 

  4. Killen DA, Piehler JM, Borkon AM, Reed WA. Bio-Medicus ventricular assist device for salvage of cardiac surgical patients. Ann Thorac Surg 1991;52:230–235

    Article  PubMed  CAS  Google Scholar 

  5. Pac WE, Miller CA, Matthews Y, Pierce WS. Ventricular assist devices for postcardiotomy cardiogenic shock. J Thorac Cardiovasc Surg 1992;104:541–543

    Google Scholar 

  6. Shiono M, Sezai Y. Pneumatic ventricular assist device: Its problems and future trends. Ann Thorac Cardiovasc Surg 1995;2:85–91

    Google Scholar 

  7. Orime Y, Shindo S, Shiono M, Hata H, Yagi S, Tsukamoto S, Okumura H, Sezai Y. Experiences of postcardiotomy assist: pneumatic ventricular assist devices or venoarterials bypass with percutaneous cardiopulmonary support Artif Organs 1996;20:721–723

    PubMed  CAS  Google Scholar 

  8. Pennington DG, McBride LR, Swartz MT, Kanter KR, Kaiser GC, Barner HB, Miller LW, Nauheim KS, Fiore AC, Willman VL Use of the Pierce-Donachy ventricular assist device in patients with cardiogenic shock after cardiologic operations. Ann Thorac Surg 1989;47:130–135

    Article  PubMed  CAS  Google Scholar 

  9. Hill JD. Bridging to cardiac operation. Ann Thorac Surg 1989;47: 167–171.

    Article  PubMed  CAS  Google Scholar 

  10. Johnson KE, Prieto M, Joyce LD, Pritker M, Emery RW. Summary of the clinical use of the Symbion total artificial heart: a registry report. J Heart Lung Transplant 1992;11:103–116

    PubMed  CAS  Google Scholar 

  11. Koyanagi H, Kitamura M, Nishida H, Hachida M, Endo M, Hashimoto A. Current strategy for severe heart failure with mechanical circulatory support. Artif Organs 1995;19:766–768

    Article  PubMed  CAS  Google Scholar 

  12. Hayashi Y, Ohtake S, Sawa Y, Nishimura M, Ichikawa H, Satoh H, Yamaguchi T, Suhara H, Sakaguchi T, Matsuda H. The efficiency of percutaneous cardiopulmonary support with heaparin coated circuits in postcardiotomy cardiogenic shock. Jpn J Thorac Cardiovasc Surg (in press)

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Authors and Affiliations

  1. First Department of Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, 565-0871, Suita, Japan

    Shigeaki Ohtake MD, Yoshiki Sawa MD, Motonobu Nishimura MD, Yoshitaka Hayashi MD, Shigeru Miyagawa MD & Hikaru Matsuda MD

Authors
  1. Shigeaki Ohtake MD
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  2. Yoshiki Sawa MD
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  3. Motonobu Nishimura MD
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  4. Yoshitaka Hayashi MD
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  5. Shigeru Miyagawa MD
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  6. Hikaru Matsuda MD
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Corresponding author

Correspondence to Yoshiki Sawa MD.

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Ohtake, S., Sawa, Y., Nishimura, M. et al. Clinical evaluation of centrifugal pump in left heart bypass for patients with postcardiotomy shock. J Artif Organs 3, 154–157 (2000). https://doi.org/10.1007/BF02479983

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  • DOI: https://doi.org/10.1007/BF02479983

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