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Usefulness of Postoperative Percutaneous Cardiopulmonary Support Using a Centrifugal Pump: Retrospective Analysis of Complications
Author(s) -
Yamashita Chojiro,
Ataka Keiji,
Azami Takashi,
Nakagiri Keitarou,
Wakiyama Hidetaka,
Okada Masayoshi
Publication year - 1999
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1999.06282.x
Subject(s) - medicine , cardiogenic shock , perioperative , percutaneous , cardiopulmonary bypass , centrifugal pump , myocardial infarction , cardiology , heart failure , surgery , anesthesia , physics , impeller , thermodynamics
Between January 1992 and December 1997, we employed percutaneous cardiopulmonary support (PCPS) using a centrifugal pump in 25 patients. In 21 of them, PCPS was used postcardiotomy. These patients could not be weaned from cardiopulmonary bypass due to profound ventricular failure. As for the other 4 patients, PCPS was used preoperatively for profound cardiogenic shock, a thrombosed valve, a stuck valve, and pulmonary embolization. Nine patients (43%) were weaned from PCPS (Group 1), and 3 (14%) were discharged from the hospital. The other 12 patients (57%) had perioperative extensive myocardial infarction and could not be weaned (Group 2). The causes of death were bleeding and multiple organ failure (MOF) associated with ventricular failure. The reasons for MOF were perioperative massive transfusion and hepatic congestion caused by sustained ventricular failure. To increase the survival rate, complete hemostasis and prevention of increased central venous pressure by early use of PCPS are necessary.