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Low Flow Right Atrial and Left Ventricular Assist Device Without an Oxygenator for Cardiogenic Shock. A Revised Concept

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Assisted Circulation
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Abstract

Circulatory and cardiac assistance for cardiogenic shock resulting from myocardial infarction or cardiac surgery remains an unsolved problem. The need and benefits of circulatory assistance are evident in the increasing use of the intra-aortic balloon pump (IABP) for low cardiac output (CO). It is significant that after 20 years of experimentation with various forms of extracorporeal and intracorporeal assist devices and techniques, the intra-aortic balloon (IAB) remains the only widely used and accepted form of assistance in spite of favorable reports on other approaches. But the IAB has serious limitations in its capacity to assist and therefore can be used only for less severe forms of shock. However, it has positively demonstrated that many situations of low output shock are reversible within a matter of hours or days after the initial damage [5, 6, 23].

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References

  1. Bernhard, W. F., LaFarge, C. G., Jockin, H., Kitrilakis, S., Robinson, T.: Chronic left ventricular bypass with an implantable left ventricular-aortic assist pump. Circulation Suppl. I 39, 98–103 (1969)

    Google Scholar 

  2. Bernhard, W. F., LaFarge, C. G., Husain, M., Yammamara, M., Robinson, T. C.: Physiological observations during partial and total left heart bypass. J. Thorac. Cardiovasc. Surg. 60, 807–817 (1970)

    PubMed  CAS  Google Scholar 

  3. Braunwald, E., Ross, J., Jr., Gault, G. H., Mason, D. T., Mills, C., Cabe, I. T., Epstein, S.E.: Assessment of cardiac function. Ann. Intern. Med. 70, 369–399 (1969)

    PubMed  CAS  Google Scholar 

  4. Chardack, W. M., Gage, U. A., McRonald, R. E., Souther, S.: Fibrillation in empty and loaded ventricles. Arch. Surg. 93, 795–801 (1966)

    PubMed  CAS  Google Scholar 

  5. Cleveland, J. C., Lefemine, A. A., Madoff, I., Black, H., Amato, J., Sewell, D. H., Rheinland, H. F., Cleveland, R. J.: The role of intra-aortic balloon counterpulsation in patients undergoing cardiac operations. Ann. Thorac. Surg. 20, 652–660 (1975)

    Article  PubMed  CAS  Google Scholar 

  6. Cohn, L. H.: Intra-aortic balloon counterpulsation in low cardiac output states. Surg. Clin. North Am. 55, 545–59 (1975)

    PubMed  CAS  Google Scholar 

  7. Connolly, J. E., Bacaner, M. B., Bruns, D. L., Lowenstein, J., Starli, E.: Mechanical support of the circulation in acute heart failure. Surgery 44, 255–262 (1958)

    PubMed  CAS  Google Scholar 

  8. DeBakey, M. E.: Left ventricular bypass pump for cardiac assistance; Clinical experience. Am. J. Cardiol. 27, 3–11 (1971)

    Article  PubMed  CAS  Google Scholar 

  9. Dennis, C., Carlens, E., Senning, A., Hall, D. P., Moreno, J. R., Coppelletti, R. R., Wesolowski, S. A.: Clinical use of a cannula for left heart bypass without thoracotomy. Ann. Surg. 156, 623–637 (1962)

    Article  PubMed  CAS  Google Scholar 

  10. Dickson, J. F., Hamer, N. A. A., Dow, J. W.: Venoarterial pumping for relief of intractable cardiac failure in man. AMA Arch. Surg. 78, 418–421 (1958)

    Google Scholar 

  11. Ellis, P. R., Lee, C., Wong, S. H., Del Rosario, V., Hyland, J. W., Prator, G.: Assisted circulation in treatment of experimental heart failure. Arch Surg. 90, 879–889 (1965)

    PubMed  Google Scholar 

  12. Evans, D., Mryegishima, R. T., Tutassaura, H., Ameli, F. M., Baird, R. J.: The effects of closed-chest veno-arterial bypass with oxygenation on cardiopulmonary hemodynamics. J. Thorac. Cardiovasc. Surg. 62, 76–83 (1971)

    PubMed  CAS  Google Scholar 

  13. Galletti, P. M., Hopf, M. A., Brecher, G. A.: Problems associated with long lasting heart-lung bypass. Trans. Am. Soc. Artif. Intern. Organs 6, 180–188 (1960)

    PubMed  CAS  Google Scholar 

  14. Goldman, A., Boszormenyi, E., Utsu, F., Enescu, V., Savan, H. J. C., Corday, E.: Veno-arterial pulsatile partial bypass for circulatory assist. Dis. Chest 50, 633–640 (1966)

    Article  PubMed  CAS  Google Scholar 

  15. Haiderer, E., Kennedy, J. H.: Assisted circulation: a comparison of three methods of circulatory bypass of the heart. Dis. Chest. 54, 44–49 (1968)

    Article  PubMed  CAS  Google Scholar 

  16. Joseph, W. L., Mahoney, J. V., Jr.: Extracorporeal circulation as an adjunct to the resuscitation of the heart. JAMA 193, 683–684 (1965)

    PubMed  CAS  Google Scholar 

  17. LaFarge, C. G., Carr, J. E., Coleman, S., Bernhard, W. F.: The maintenance of circulatory competence during chronic microsphere induced myocardial failure. J. Thorac. Cardiovasc. Surg. 64, 652–658 (1972)

    PubMed  CAS  Google Scholar 

  18. Lang, T., Rosselot, E., Gold, H., Vyden, J. K., Goldman, A., Herrold, C., Corday, E.: Effect of venoarterial pulsatile partial bypass on the coronary renal and mesenteric circulations in cardiogenic shock. Am. J. Cardiol. 27, 41–45 (1971)

    Article  PubMed  CAS  Google Scholar 

  19. Lefemine, A. A.: Left ventricular bypass: an experimental and clinical experience. Trans. Am. Soc. Artif. Intern. Organs 23, 124 (1977)

    Google Scholar 

  20. Lefemine, A. A., Lunzer, S., Harken, D. E.: Assisted circulation by veno-arterial bypass. JAMA 182, 1018–1022 (1962)

    PubMed  CAS  Google Scholar 

  21. Lefemine, A. A., Harken, D.E.: Extracorporeal support of the circulation by means of venoarterial bypass with an oxygenator. J. Thorac. Cardiovasc. Surg. 62, 769–780 (1971)

    PubMed  CAS  Google Scholar 

  22. Lefemine, A., Flessas, A., Moon, H. S.: Left ventricular bypass for ventricular failure. J. Thorac. Cardiovasc. Surg. 65, 758–767 (1973)

    PubMed  CAS  Google Scholar 

  23. Lefemine, A. A., Kosowsky, B., Madoff, I., Black, H., Lewis, M.: Results and complication of intra-aortic balloon pumping in surgical and medical patients. Am. J. Cardiol. 40, 416–420 (1977)

    Article  PubMed  CAS  Google Scholar 

  24. Liotta, D., Hall, C. W., Healy, S., Cooley, D. A., Crawford, W. S., DeBakey, M. E.: Prolonged assisted circulation during and after cardiac or aortic surgery. Am. J. Cardial. 12, 399–405 (1963)

    Article  CAS  Google Scholar 

  25. Litwak, J., Koffsky, R. M., Jurado, R. A. et al.: Use of a left heart assist device after intracardiac surgery: technique and clinical experience. Ann. Thorac. Surg. 21, 191–202 (1976)

    Article  PubMed  CAS  Google Scholar 

  26. Mantini, E., Tanakas, S., Horta-Da Silva, P., Lillehei, C. W.: Some aspects of altered physiology during partial right and left ventricular bypass. Trans. Am. Soc. Artif. Organs 13, 288–292 (1967)

    Google Scholar 

  27. Norman, J. C., Whalen, R. L., Daly, B. D., Migliore, J., Huffman, F. M.: An implantable left ventricular assist device (ALVAD). Clin. Res. 20 (5), 855 (1972)

    Google Scholar 

  28. Norman, J. C.: Intra corporeal partial artificial hearts (L): initial clinical trials. Topical report of NHLBI, Feb. 7 (1977)

    Google Scholar 

  29. Robinson, W. J., Daly, B. D. T., Hughes, D. A., Migliore, J. J., Hibbi, C. W., Igo, S. R., Norman, J. C.: An abdominal left ventricular assist device: preclinical studies. Ann. Thorac. Surg. 19, 540–551 (1975)

    Article  PubMed  CAS  Google Scholar 

  30. Rosselot, E., Gold, H., Vyden, J. K., Goldman, A., Lang, T., Corday, E.: Venoarterial pulsatile circulation assist in the treatment of resistant ventricular fibrillation. Am. J. Cardiol. 27, 246–50 (1971)

    Article  Google Scholar 

  31. Salisbury, P. F., Cross, C. E., Rieben, P. A., Lewin, R. F.: Comparison of two types of mechanical assistance in experimental heart failure. Circ. Res. 8, 431–39 (1960)

    PubMed  CAS  Google Scholar 

  32. Schenk, W. C., Delin, N. A., Camp, F. A., McDonald, K. E., Pollock, L., Gage, A. A., Chardack, W. M.: Assisted circulation: an experimental evaluation of counterpulsation and left ventricular bypass. Arch. Surg. 88, 327–344 (1964)

    PubMed  Google Scholar 

  33. Schuhmann, R. E., Geddes, L. A., Hoff, H. E.: Prolonged left ventricular bypass by transvalvular aortic catheterization I. Physiologic effects and rationale of surgical concept. Surgery 67, 957–968 (1970)

    PubMed  CAS  Google Scholar 

  34. Small, M. L.: Evaluation of left heart bypass in a standardized experimental situation of acute heart failure. J. Thorac. Cardiovasc. Surg. 54, 777-ISA (1967)

    Google Scholar 

  35. Stuckey, J. H., Newman, M. M., Levowitz, B. S., Berg, E. H., Goodman, S. E., Fries, C. C., Karlson, K.E., Blumenfield, M., Weitzner, S.W., Binder, L.S., Winston, A.: The use of the heart-lung machine in selected cases of acute myocardial infarction. Surg. Forum 8, 342–344 (1958)

    Google Scholar 

  36. Torresani, J., Jausseran, J. M., Duport, G. et al.: Assistence cardiaque par deviation veino-arterielle puisée. Arch. Mal. cœur 62, 1144–1154 (1969)

    PubMed  CAS  Google Scholar 

  37. Wakabayashi, A., Nakamura, Y., Murphy, K. J., Kubo, T., Charney, K. J., Connolly, J. E.: Controlled veno-arterial bypass without oxygenation in the treatment of cardiogenic shock. Trans. Am. Soc. Artif. Intern. Organs 19, 511–513 (1973)

    PubMed  CAS  Google Scholar 

  38. Zwart, H. H., Kralios, A., Collan, R., Kolff, W. J.: Transarterial closed-chest left ventricular (Ta CLV) bypass. Trans. Am. Soc. Artif. Intern. Organs 15, 386–390 (1969)

    PubMed  CAS  Google Scholar 

  39. Zwart, H. H., Kralios, A. C., Eastwood, N., Kolff, W. F.: Effects of partial and complete unloading of the failing left ventricle by transarterial left heart bypass. J. Thorac. Cardiovasc. Surg. 63, 865–872 (1972)

    PubMed  CAS  Google Scholar 

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© 1979 Springer-Verlag Berlin Heidelberg

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Lefemine, A.A. (1979). Low Flow Right Atrial and Left Ventricular Assist Device Without an Oxygenator for Cardiogenic Shock. A Revised Concept. In: Unger, F. (eds) Assisted Circulation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67268-2_27

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  • DOI: https://doi.org/10.1007/978-3-642-67268-2_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67270-5

  • Online ISBN: 978-3-642-67268-2

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