Results of mechanical ventricular assistance for the treatment of post cardiotomy cardiogenic shock

Sanjay M. Mehta, Thomas X. Aufiero, Walter E. Pae, Cynthia A. Miller, William S. Pierce

Research output: Contribution to journalReview article

42 Citations (Scopus)

Abstract

The voluntary submission of data on patients who receive mechanical circulatory assistance for post cardiotomy cardiogenic shock and acute myocardial infarction has resulted in an established data base for the ongoing evaluation of these devices. Since its inception in 1985, there have been 1,279 cases reported of implanted ventricular assist devices for post cardiotomy cardiogenic shock. The average duration of support for these devices is approximately 4 days. Those patients who underwent implantation of a centrifugal pump had significantly shorter periods of support when compared with the pneumatically supported group. Patients had similar periods of support when comparing clinical outcome. Approximately 70% of the reported cases underwent centrifugal assistance. The majority of reported cases were supported with isolated left ventricular assistance. There was no significant difference in overall outcome statistics when comparing type or mode of support. Approximately 45% of reported patients were weaned from circulatory assistance, and 25% of all patients survived to discharge. These numbers remain consistent with previously reported statistics. The results with acute myocardial infarction remain limited. Of the 96 reported patients, 26% were weaned from support and only 11.5% survived to discharge. This report continues to support the use and research for advancement of these devices toward the treatment of post cardiotomy cardiogenic shock.

Original languageEnglish (US)
Pages (from-to)211-218
Number of pages8
JournalASAIO Journal
Volume42
Issue number3
StatePublished - May 1 1996

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Cardiogenic Shock
Statistics
Centrifugal pumps
Equipment and Supplies
Therapeutics
Myocardial Infarction
Heart-Assist Devices
Databases
Research

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

Cite this

Mehta, S. M., Aufiero, T. X., Pae, W. E., Miller, C. A., & Pierce, W. S. (1996). Results of mechanical ventricular assistance for the treatment of post cardiotomy cardiogenic shock. ASAIO Journal, 42(3), 211-218.
Mehta, Sanjay M. ; Aufiero, Thomas X. ; Pae, Walter E. ; Miller, Cynthia A. ; Pierce, William S. / Results of mechanical ventricular assistance for the treatment of post cardiotomy cardiogenic shock. In: ASAIO Journal. 1996 ; Vol. 42, No. 3. pp. 211-218.
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Mehta, SM, Aufiero, TX, Pae, WE, Miller, CA & Pierce, WS 1996, 'Results of mechanical ventricular assistance for the treatment of post cardiotomy cardiogenic shock', ASAIO Journal, vol. 42, no. 3, pp. 211-218.

Results of mechanical ventricular assistance for the treatment of post cardiotomy cardiogenic shock. / Mehta, Sanjay M.; Aufiero, Thomas X.; Pae, Walter E.; Miller, Cynthia A.; Pierce, William S.

In: ASAIO Journal, Vol. 42, No. 3, 01.05.1996, p. 211-218.

Research output: Contribution to journalReview article

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