Zusammenfassung
Extrakorporale Rotationspumpen werden bevorzugt bei ECMO-Systemen (extrakorporale Membranoxigenation) eingesetzt, können aber auch isoliert als ventrikuläre Unterstützungssysteme verwendet werden. Sie können bei kritisch kranken Patienten im kardiogenen Schock uni- oder biventrikulär verwendet werden, wenn implantierbare LVAD als kontraindiziert angesehen werden. Die Zielsetzung ist ein späteres Weaning oder ein „bridge to bridge“. Bei Verwendung geeigneter Kanülen können die extrakorporalen Pumpen später ganz einfach durch pneumatische parakorporale Pumpkammern (z. B. BerlinHeart Excor) ersetzt und dadurch eine längerfristige Kreislaufunterstützung erreicht werden.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Aissaoui N, Morshuis M, Paluszkiewicz L et al (2014) Comparison of biventricular and left ventricular assist devices for the management of severe right ventricular dysfunction in patients with end-stage heart failure. ASAIO J 60:400–406
Bhama JK, Bansal U, Winger DG et al (2018) Clinical experience with temporary right ventricular mechanical circulatory support. J Thorac Cardiovasc Surg 156:1885–1891
Borisenko O, Wylie G, Payne J et al (2014) Thoratec CentriMag for temporary treatment of refractory cardiogenic shock or severe cardiopulmonary insufficiency: a systematic literature review and meta-analysis of observational studies. ASAIO J 60:487–497
Gregoric ID, Kar B, Mesar T et al (2014) Perioperative use of TandemHeart percutaneous ventricular assist device in surgical repair of postinfarction ventricular septal defect. ASAIO J 60:529–532
Hetzer R, Krabatsch T, Stepanenko A, Hennig E, Potapov EV (2010) Long-term biventricular support with the heartware implantable continuous flow pump. J Heart Lung Transplant 29:822–824
Kar B, Adkins LE, Civitello AB et al (2006) Clinical experience with the TandemHeart percutaneous ventricular assist device. Tex Heart Inst J 33:111–115
Kar B, Gregoric ID, Basra SS, Idelchik GM, Loyalka P (2011) The percutaneous ventricular assist device in severe refractory cardiogenic shock. J Am Coll Cardiol 57:688–696
Kashiwa K, Nishimura T, Saito A et al (2012) Left heart bypass support with the Rotaflow Centrifugal Pump(R) as a bridge to decision and recovery in an adult. J Artif Organs 15:207–210
Loforte A, Potapov E, Krabatsch T et al (2009) Levitronix CentriMag to Berlin Heart Excor: a “bridge to bridge” solution in refractory cardiogenic shock. ASAIO J 55:465–468
Lunz D, Philipp A, Judemann K et al (2013) First experience with the deltastream(R) DP3 in venovenous extracorporeal membrane oxygenation and air-supported inter-hospital transport. Interact CardioVasc Thorac Surg 17:773–777
Malfertheiner MV, Philipp A, Lubnow M et al (2016) Hemostatic changes during extracorporeal membrane oxygenation: a prospective randomized clinical trial comparing three different extracorporeal membrane oxygenation systems. Crit Care Med 44:747–754
Miller LW, Guglin M (2013) Patient selection for ventricular assist devices: a moving target. J Am Coll Cardiol 61:1209–1221
Miller LW, Lietz K (2006) Candidate selection for long-term left ventricular assist device therapy for refractory heart failure. J Heart Lung Transplant 25:756–764
Nicolais CD, Suryapalam M, O’Murchu B et al (2018) Use of Protek Duo Tandem Heart for percutaneous right ventricular support in various clinical settings: a case series. J Am Coll Cardiol 71:1314
Nitta D, Kinugawa K, Imamura T et al (2018) A useful scoring system for predicting right ventricular assist device requirement among patients with a paracorporeal left ventricular assist device. Int Heart J 59:983–990
Ponikowski P, Voors AA, Anker SD et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37:2129–2200
Puehler T, Haneya A, Philipp A et al (2011) Minimized extracorporeal circulation system in coronary artery bypass surgery: a 10-year single-center experience with 2243 patients. Eur J Cardiothorac Surg 39:459–464
Rupprecht L, Camboni D, Philipp A et al (2019) Further options and survival results after failure following extracorporeal life support implantation. J Cardiovasc Surg (Torino) 60:128–135
Siddique A, Baus JE, Merritt H et al (2016) Totally Percutaneous RVAD/ECMO configuration provides versatile support for RV failure. J Heart Lung Transplant 35:S163–S163
Stiller B, Houmes RJ, Ruffer A et al (2018) Multicenter experience with mechanical circulatory support using a new diagonal pump in 233 Children. Artif Organs 42:377–385
Tiedge S, Optenhöfel J (2011) Erste Einsätze einer neuen Diagonalpumpe in extrakorporalen Unterstützungssystemen bei Kindern und Säuglingen. Kardiotechnik 3:72–76
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Schmid, C. (2020). Kardiale Unterstützung durch extrakorporale Rotationspumpen. In: Boeken, U., Assmann, A., Klotz, S., Born, F., Rieth, A., Schmid, C. (eds) Mechanische Unterstützung im akuten Kreislaufversagen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59901-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-662-59901-3_9
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-59900-6
Online ISBN: 978-3-662-59901-3
eBook Packages: Medicine (German Language)