Zusammenfassung
Die folgenden perkutan implantierbaren mechanischen kardialen Assistenzsysteme stehen zum gegenwärtigen Zeitpunkt zur Verfügung:
-
1.
Ballongegenpulsation,
-
2.
implantierbare Turbinenpumpen,
-
3.
perkutan anschließbare Herz-Lungen-Maschine,
Der Einsatz dieser Systeme sollte in den folgenden klinischen Situationen erwogen werden [3]:
-
beim plötzlichen Herzstillstand
-
beim kardiogenen Schock,
-
bei der schweren Koronarischamie und Hochrisiko-PTCA.
Im folgenden Beitrag wird versucht darzustellen, in welcher klinischen Situation welches Assistenzsystem mit welchem Erfolg eingesetzt werden kann bzw. welche Gren-zen beim Einsatz dieser Systeme bestehen.
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Literatur
Aguirre FV, Kern MJ, Bach R et al.(1994) Intraaortic balloon pump support during high risk coronary angioplasty. Cardiology 84:175–186
Ferrari M, Scholz KH, Figulla HR (1996) PTCA with the use of cardiac assist devices. Risk stratification,short and long-term results. Cath Cardiovasc Diagn 38:242–248
Figulla HR (1994) Circulatory support devices in clinical cardiology. Cardiology 84:149–155
Flaherty JT, Becker LC, Weiss JL (1985) Results of a randomized prospective trial of intra-aortic balloon counterpulsation and intravenous nitroglycerin in patients with acute myocardial infarction.J Am Coll Cardiol 6:434–436
Ishihara M, Sato H, Tateishi H, Uchida T, Dote K (1991) Intraaortic balloon pumping as the postangioplasty strategy in acute myocardial infarction. Am Heart J 122:385–389
Kern MJ (1991) Intra-aortic balloon counterpulsation. Coronary Artery Dis 2:649–660
Kern MJ, Aguirre F, Bach R, Donohue T, Siegel RT, Segal J (1993) Augmentation of coronary blood flow by intra-aortic balloon pumping in patients after coronary angioplasty. Circulation 87:500–511
Moulopoulos S, Topaz S, Kolff WJ (1962) Diastolic balloon pumping (with carbon dioxide) in the aorta: A mechanical assistance to the failing circulation. Am Heart J 63:669–675
Ohman EM, George BS, White CJ et al, for the Randomized IABP Study Group (1994) The use of aortic counterpulsation to improve sustained coronary artery patency during acute myocardial infarction: Results of a randomized trial. Circulation 90:792–799
Overlie PA, Walter PD, Hurd II HP et al. (1994) Emergency cardiopulmonary support with circulatory support devices. Cardiology 84:231 -237
Scholz KH, Saathoff H, Tebbe U (1989) Intraaortale Ballongegenpulsation bei akutem Myokardinfarkt,ischämischer Linksherzinsuffizienz und therapierefraktärer Angina pectoris. Dtsch Med Wochenschr 114:1821–1827
Scholz KH, Figulla HR, Schweda F et al. (1994) Mechanical left ventricular unloading during high risk coronary angioplasty. First human use of a new percutaneous transvalvular left ventricular assist device. Cathet Cardiovasc Diagn 31:61–69
Scholz KH, Dubois-Rande JL, Urban P et al. (1996) Perkutane Hemopump bei Hochrisiko-PTCA. Ergebnisse einer Multicenter Studie. Z. Kardiol 85 [Suppl 2] :69 (Abst)
Scholz KH, Figulla HR, Schröder T et al. (1995) Pulmonary and left ventricular decompression by artificial pulmonary value incompetence during percutaneous cardiopulmonary bypass support in cardiac arrest. Circulation 91:2664–2668
Teirstein PS, Vogel RA, Dorros G et al. (1993) Prophylactic versus standby cardiopulmonary support for high risk percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 21:580–586
Tommaso CL, Vogel RA (1994) National registry for supported angioplasty: Results and followup of three years of supported and standby supported angioplasty in high-risk patients. Cardiology 84:238–244
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Figulla, H.R. (2000). Perkutan implantierbare mechanische Kreislaufassistenzsysteme. In: Hess, O.M., Simon, R.W.R. (eds) Herzkatheter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56967-8_21
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DOI: https://doi.org/10.1007/978-3-642-56967-8_21
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