Abstract
The intriguing principle of “counterpulsation” [1] introduced the possibility of affecting the circulation by separately interfering with the two cardiac cycles, systolic and diastolic. It derived from the observation that myocardial oxygen consumption depends on the myocardial time-tension index [2]. If, therefore, pressure during ventricular ejection could be reduced, oxygen consumption could also be reduced, provided mean arterial perfusion pressure was maintained at the same level. This principle has been used in the only method of assistance to gain acceptance as a standard clinical therapy, intra-aortic balloon pumping [3].
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
Clauss R, Birtwell C, Albertal G, Lunzer S, Taylor W, Fosberg A, Harken D (1961) Assisted circulation. I. The arterial counterpulsator. J Thorac Cardiovasc Surg 41:447
Welch G, Sarnoff S, Braunwald E, Stainsby W, Case R, Macruz R (1958) The influence of cardiac output, aortic pressure and heart rate on myocardial oxygen utilization. Surg Forum 8:294
Moulopoulos S, Topaz S, Kolff W (1962) Diastolic balloon pumping (with carbon dioxide) in the aorta: a mechanical assistance to the failing circulation. Am Heart J 62:669
Moulopoulos S (1983) Mechanical cardiac assistance. In: Hurst A (ed) Clinical assays on the heart. McGraw-Hill, New York, p 233
Nanas J, Poyadjis A, Charitos C, Nanas S, Kontoyannis D, Anastasiou M, Alevizakos N, Voudris V, Moulopoulos S (1990) Additional salutary hemodynamic effects of the combined use of the paraaortic counterpulsation device and intraaortic balloon pump versus a paraaortic counterpulsation device alone. ASAIO Trans 36:505
Wiggers C (1939) Physiology in health and disease. Lea and Febiger, Philadelphia
Moulopoulos S, Stamatelopoulos S, Plassaras G, Sideris D, Hassapoyannis C (1976) A nomogram for optimal assistance by intraaortic balloon pumping. Abstracts of the 7th European Congress on Cardiology, Amsterdam, vol 1, p 708
Moulopoulos S, Anthopoulos L, Stamatelopoulos S, Boufas D (1973) Optimal changes in stroke work during left ventricular bypass. J Appl Physiol 24:12
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Moulopoulos, S.D. (1995). Large-volume Counterpulsation. In: Unger, F. (eds) Assisted Circulation 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79340-0_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-79340-0_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-79342-4
Online ISBN: 978-3-642-79340-0
eBook Packages: Springer Book Archive