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Ventrikuläre Assistenz mit Zentrifugalpumpen beim Postkardiotomie-Low-output-Syndrom

  • Conference paper
Neue Wege in der Herz-Lungen-Maschinen-Technik und der Assistierten Kreislaufzirkulation

Zusammenfassung

Im Juli 1986 wurde an der Klinik für Herz-, Thorax- und Gefäßchirurgie der Universität Mainz erstmalig in der Bundesrepublik Deutschland erfolgreich die extrakorporale Kreislaufassistenz mit Zentrifugalpumpe bei einem Patienten mit therapierefraktärem Postkardiotomie-Low-output-Syndrom eingesetzt. Von 7/86 bis 12/90 wurde dieses Verfahren bei insgesamt 12 Patienten — oder 0,52% von insgesamt 2321 — mit Hilfe der Herz-Lungemaschine (HLM) am offenen Herzen operierten Patienten angewandt. Während dieses Zeitraums wurde die intraaortale Ballongegenpulsation als ausschließliche oder primäre mechanische Kreislaufhilfe bei 60 Patienten — oder 2,6% — eingesetzt, so daß die Gesamtinzidenz des postoperativen Low-output-Syndroms um 3%, und damit unter der mit 4–5% im Schrifttum angegebenen Inzidenz lag [4, 20, 31, 32].

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Authors and Affiliations

  1. Klinik für Herz-, Thorax- und Gefäßchirurgie, Johannes Gutenberg-Universität Mainz, Deutschland

    Dr. H. Jakob, R. Volb, D. Bolle, W. Kuroczynski, B. Palzer, G. Fritz & H. Oelert

  2. Klinik für Herz-, Thorax- und Gefäßchirurgie, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 6500, Mainz, Deutschland

    Dr. H. Jakob

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  1. Dr. H. Jakob
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  4. W. Kuroczynski
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  5. B. Palzer
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  6. G. Fritz
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  7. H. Oelert
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Editors and Affiliations

  1. Klinik und Poliklinik für Herzchirurgie, Universität zu Köln, Josef-Stelzmann-Str. 9, 5000, Köln 41, Deutschland

    H. Korb , A. Borowski  & E. R. de Vivie ,  & 

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© 1992 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG Darmstadt

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Jakob, H. et al. (1992). Ventrikuläre Assistenz mit Zentrifugalpumpen beim Postkardiotomie-Low-output-Syndrom. In: Korb, H., Borowski, A., de Vivie, E.R. (eds) Neue Wege in der Herz-Lungen-Maschinen-Technik und der Assistierten Kreislaufzirkulation. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-52427-1_8

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  • DOI: https://doi.org/10.1007/978-3-642-52427-1_8

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-52428-8

  • Online ISBN: 978-3-642-52427-1

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