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Technique and Results with a Roller Pump for Ventricular Assistance

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Abstract

Although it is relatively infrequent for the utilization of ventricular assist devices (VADs) to be required for profound heart failure following cardiac surgical procedures, there have been a number of reports of increasing success with the use of these devices [1–6]. Furthermore, the role of VADs has expanded with their utilization as a bridge to transplantation [7, 8] and as a support device for patients with cardiogenic shock following myocardial infarction [9]. A variety of devices for ventricular assistance have been employed. We have used a roller pump driven device since 1978, and this system is relatively effective, easy to use, and inexpensive. This report summarizes our experience with the use of a roller pump left ventricular assist device (LVAD) and right ventricular assist device (RVAD) and also a newly developed percutaneously inserted LVAD.

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References

  1. Rose DM, Laschinger J, Grossi E et al. (1985) Experimental and clinical results with a simplified left heart assist device for treatment of profound left ventricular dysfunction. World J Surg 9:11

    Article  PubMed  CAS  Google Scholar 

  2. Pae WE, Pierce WS, Pennock JL et al. (1987) Long-term results of ventricular assist pumping in postcardiotomy cardiogenic shock. J Thorac Cardiovasc Surg 93:434

    PubMed  Google Scholar 

  3. Pennington DG, Bernhard WF, Golding LR et al. (1985) Long-term follow-up of postcardiotomy patients with profound cardiogenic shock treated with ventricular assist device. Circulation 72:206

    Google Scholar 

  4. Park SB, Liebler GA, Burkholder JA et al. (1986) Mechanical support of the failing heart. Ann Thorac Surg 42:627

    Article  PubMed  CAS  Google Scholar 

  5. Pennington DG, Merjavy JP, Swartz MT et al. (1985) The importance of biventricular failure in patients with postoperative cardiogenic shock. Ann Thorac Surg 39:16

    Article  PubMed  CAS  Google Scholar 

  6. Zumbro GL, Kitchens WR, Shearer G et al. (1987) Mechanical assistance for cardiogenic shock following cardiac surgery, myocardial infarction, and cardiac transplantation. Ann Thorac Surg 44:11

    Article  PubMed  CAS  Google Scholar 

  7. Hill JD, Farrar DJ, Hershon JJ et al. (1986) Use of a prosthetic ventricle as a bridge to cardiac transplantation for postinfarction cardiogenic shock. N Engl J Med 314:626

    Article  PubMed  CAS  Google Scholar 

  8. Pennock JL, Pierce WS, Campbell DB et al. (1986) Mechanical support of the circulation followed by cardiac transplantation. J Thorac Cardiovasc Surg 92:994

    PubMed  CAS  Google Scholar 

  9. Rose DM, Grossi E, Laschinger J et al. (1986) Strategy for treatment of acute evolving myocardial infarction with pulsatile left heart assist device. Can this modality increase survival and enhance myocardial salvage? In: Bregman D (ed) Critical care clinics, new techniques in mechanical support, vol 2. Saunders, Philadelphia, p 251

    Google Scholar 

  10. Buda AJ, MacDonald IL, Anderson MJ et al. (1981) Long-term results following coronary bypass operation. Importance of preoperative factors and complete revascularization. J Thorac Cardiovasc Surg 82:383

    PubMed  CAS  Google Scholar 

  11. Hilton CJ, Beubl W, Acker M, Levinson HJ, Millard RW, Riddle R, McEnany MT (1979) Inadequate cardioplegic protection with obstructed coronary arteries. Ann Thorac Surg 28:323

    Article  PubMed  CAS  Google Scholar 

  12. Kennedy JW, Kaiser GL, Fisher LD et al. (1981) Clinical and angiographic predictors of operative mortality from the collaborative study in coronary artery surgery (CASS). Circulation 63:793

    Article  PubMed  CAS  Google Scholar 

  13. Buxton AE, Goldberg S, Harken A et al. (1981) Coronary artery spasm immediately after myocardial revascularization. Recognition and management. N Engl J Med 304:1249

    Article  PubMed  CAS  Google Scholar 

  14. Lockerman ZS, Rose DM, Cunningham JN et al. (1987) Reperfusion ventricular fibrillation during coronary artery bypass surgery and its association with postoperative enzyme release. J Thorac Cardiovasc Surg 93:247

    PubMed  CAS  Google Scholar 

  15. Kloner RA, Ellis ST, Lange R et al. (1983) Studies of experimental coronary artery reperfusion: effects on infarct size, myocardial function, biochemistry, ultrastructure and microvasculature damage. Circulation 68 [Suppl I]: 1–8

    Google Scholar 

  16. Ellis SB, Henschke CI, Sandor T et al. (1983) Time course of functional and biochemical recovery of myocardium salvaged by reperfusion. J Am Coll Cardiol 11:1047

    Article  Google Scholar 

  17. Braunwald E, Klouer RA (1982) The stunned myocardium - prolonged, postischemic ventricular dysfunction (Editorial). Circulation 66:1146

    Article  PubMed  CAS  Google Scholar 

  18. Pennock JL, Pae WE, Pierce WS et al. (1979) Reduction of myocardial infarct size. Comparison between left atrial and left ventricular bypass. Circulation 59:275

    PubMed  CAS  Google Scholar 

  19. Grossi EA, Laschinger JC, Cunningham JN et al. (1984) Time course in myocardial salvage with left heart assist in evolving myocardial infarction. Surg Forum 35:322

    Google Scholar 

  20. Dembitsky WP, Daily PO, Raney AA et al. (1986) Temporary extracorporeal support of the right ventricle. J Thorac Cardiovasc Surg 91:518

    PubMed  CAS  Google Scholar 

  21. O’Neill MJ, Pierce WS, Wisman CB et al. (1984) Successful management of right ventricular failure with the ventricular assist pump following aortic valve replacement and coronary bypass grafting. J Thorac Cardiovasc Surg 87:106

    PubMed  Google Scholar 

  22. Cohn JN (1979) Right ventricular infarction revisited. Am J Cardiol 43:666

    Article  PubMed  CAS  Google Scholar 

  23. Viahades GJ, Turley K, Hoffman JIE (1981) The pathophysiology of failure in acute right ventricular hypertension. Hemodynamic and biochemical correlations. Circulation 63:87

    Article  Google Scholar 

  24. Spence PA, Weisel RD, Easdown J et al. (1985) The hemodynamic effects and mechanism of action of pulmonary artery balloon counterpulsation in the treatment of right ventricular failure during left heart bypass. Ann Thorac Surg 39:329

    Article  PubMed  CAS  Google Scholar 

  25. Symbas PN, McKeown PP, Santora AH et al. (1985) Pulmonary artery balloon counterpulsation for treatment of intraoperative right ventricular failure. Ann Thorac Surg 39:437

    Article  PubMed  CAS  Google Scholar 

  26. Toporoff B, Marini C, Grubbs PE et al. Improvement of left ventricular compliance utilizing a right ventricular assist device in sepsis induced acute respiratory distress syndrome (ARDS). Surg Forum

    Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Rose, D.M., Connolly, M., Cunningham, J.N., Spencer, F.C. (1989). Technique and Results with a Roller Pump for Ventricular Assistance. In: Unger, F. (eds) Assisted Circulation 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74404-4_15

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  • DOI: https://doi.org/10.1007/978-3-642-74404-4_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74406-8

  • Online ISBN: 978-3-642-74404-4

  • eBook Packages: Springer Book Archive

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