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Effect of the Hemopump in cardiogenic shock and in the early stage of regional myocardial ischemia

  • K. H. Scholz
  • J. P. Hering
  • T. Schröder
  • P. Uhlig
  • U. Tebbe
  • H. Kreuzer
  • G. Hellige
Conference paper

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.

Keywords

Ventricular Fibrillation Myocardial Blood Flow Cardiogenic Shock Aortic Pressure Myocardial Oxygen Consumption 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • K. H. Scholz
    • 1
  • J. P. Hering
    • 1
  • T. Schröder
    • 1
  • P. Uhlig
    • 1
  • U. Tebbe
    • 1
  • H. Kreuzer
    • 1
  • G. Hellige
    • 1
  1. 1.Abteilung Kardiologie und Abteilung Experimentelle KardiologieGeorg-August-Universität GöttingenGermany

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