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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
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
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
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
Park SB, Liebler GA, Burkholder JA et al. (1986) Mechanical support of the failing heart. Ann Thorac Surg 42:627
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
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
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
Pennock JL, Pierce WS, Campbell DB et al. (1986) Mechanical support of the circulation followed by cardiac transplantation. J Thorac Cardiovasc Surg 92:994
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
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
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
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
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
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
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
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
Braunwald E, Klouer RA (1982) The stunned myocardium - prolonged, postischemic ventricular dysfunction (Editorial). Circulation 66:1146
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
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
Dembitsky WP, Daily PO, Raney AA et al. (1986) Temporary extracorporeal support of the right ventricle. J Thorac Cardiovasc Surg 91:518
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
Cohn JN (1979) Right ventricular infarction revisited. Am J Cardiol 43:666
Viahades GJ, Turley K, Hoffman JIE (1981) The pathophysiology of failure in acute right ventricular hypertension. Hemodynamic and biochemical correlations. Circulation 63:87
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
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
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
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
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
Download citation
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