Abstract
Currently available left-heart bypass systems are exceedingly elaborate with regard to both implantation and handling (17). Thus, in patients with cardiogenic shock, these systems are not routinely used, with the exception of occasional postcardiotomy and bridging to transplant-applications (6). Up to now, only intraaortic balloon counter-pulsation (IABP) has gained major clinical relevance in treatment of patients with cardiogenic shock (6,12). Counterpulsation leads to an improvement of cardiac energy balance, reducing left-ventricular (LV) pressure load and increasing coronary perfusion pressure. However, with this technique clinical improvement depends on residual left-ventricular function, and many patients who have ventricular failure refractory to IABP require a more complete form of mechanical support.
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© 1991 Springer-Verlag Berlin Heidelberg
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Scholz, K.H. et al. (1991). Effect of the Hemopump in cardiogenic shock and in the early stage of regional myocardial ischemia. In: Flameng, W. (eds) Temporary Cardiac Assist with an Axial Pump System. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-10284-8_3
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DOI: https://doi.org/10.1007/978-3-662-10284-8_3
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-7985-0906-1
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