Percutaneous Mechanical Circulatory Assistance

  • P. Urban
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1997)


Established cardiogenic shock is a dramatic clinical occurrence, and in-hospital mortality still remains very high, in the region of 80% [1]. It is most often caused by acute myocardial infarction, valvular dysfunction, myocarditis, cardiomyopathy, or by post-cardiotomy pump failure [2]. While cardiac transplantation has a major impact on the acute course of cardiogenic shock in selected cases, and acute revascularization with bypass surgery [3] or balloon angioplasty [4] may have a role to play, pharmacological treatment has generally been disappointing. Thus, although thrombolysis can be effective in preventing the occurrence of shock when it is given early enough in the course of myocardial infarction, it does not influence mortality when the hemodynamics are already profoundly affected [5]. Inotropic and vasodilator agents are nearly always used, but they are generally ineffective to reverse full-blown cardiogenic shock [6].


Acute Myocardial Infarction Cardiogenic Shock Circulatory Support Ventricular Septal Rupture Ventricular Assistance 
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© Springer-Verlag Berlin Heidelberg 1997

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  • P. Urban

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