Korean J Thorac Cardiovasc Surg.  2004 Dec;37(12):1003-1009.

Short-term Mechanical Circulatory Support with Centrifugal Pump in Cardiac Arrest or Cardiogenic Shock: Report of 5 cases

• Yang HC
• Lee YT
• Sung K
• Park KH
• Jun TG
• Park PW
• Yang JH

Abstract

Mechanical circulatory support (MCS) has been used for myocardium failure, but moreover, it may be essential for the life support in cardiac arrest or cardiogenic shock. Many commercial devices can be used effectively for the long-term support. However, there are some limitations in the aspects of the cost and technical support by production company. Short-term support with centrifugal type has been reported numerously with the purpose of bridging to heart transplantation or recovery. We successfully treated 5 patitents who were in the status of cardiogenic shock (n=3) or arrest (n=2) with the technique of extracorporeal life support system (ECLS) or left ventricular assist device (LVAD) using the centrifugal type pump. The MCS were performed emergently (n=2) under cardiac arrest caused by ischemic heart disease, and urgently (n=3) under cardiogenic shock with ischemic heart disease (n=1) or acute fulminant viral myocarditis (n=2). All patients were weaned from MCS. Complications related to the use of MCS were bleeding and acute renal failure, but there were no major complications related to femoral cannulations. Mechanical circulatory support may be essential for the life support and rescue in cardiac arrest or cardiogenic shock.

Keyword

Assisted circulation; Cardiopulmonary bypass; Cardiogenic shock; Cardiac arrest

MeSH Terms

Acute Kidney Injury
Assisted Circulation
Cardiopulmonary Bypass
Catheterization
Heart Arrest*
Heart Transplantation
Heart-Assist Devices
Hemorrhage
Humans
Life Support Systems
Myocardial Ischemia
Myocarditis
Myocardium
Shock, Cardiogenic*