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Contrapulsation balloon pump

Javier Gallego, F Valera, J A Margarit, M Pérez, A Castelló, D Matas, S Torregrosa, J Maroñas, F Serrano, A Monteiro
OBJECTIVES: This article summarizes the general experience and results achieved by heart transplantation during 19 years of activity. MATERIALS AND METHODS: Between 1987 and 2005, 439 heart transplantations and 24 cardiopulmonary transplantations were performed by the Cardiovascular Surgery Department of Hospital Universitario La Fe, Valencia, Spain. Indication variation over time, donor/receptor profiles, urgent vs. programmed transplantations and short/long term results over different periods of time were subject to analysis, while correlating the results with changes of surgical technique, myocardial protection and immunosuppression protocols...
January 2007: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
V E Tolpekin, D V Shumakov
The article summarizes forty-year experience in working over the problem of the artificial heart and auxiliary blood circulation in Laboratory and later Research Institute of Transplantology and Artificial Organs. This work has resulted in the development of balloon pumps for intraaortic contrapulsation, the technique of balloon installation, and indications to its application. The results of the clinical application of the method in patients with various pathologies have been estimated. Preclinically, left ventricular bypass techniques have been tested on more than twenty models of membrane type artificial ventricles...
2006: Vestnik Rossiĭskoĭ Akademii Meditsinskikh Nauk
Saulius Miniauskas, Kestutis Rucinskas, Gintaras Rasimavicius, Vytautas Sirvydis
Over the last three decades, the results of heart surgery have significantly improved. However, the number of patients at the last stages of heart deficiency has increased. Prevention provided to the patients suffering from heart diseases has improved the quality of their life and increased their lifetime. In spite of that, most of these patients sooner or later need a surgical treatment: heart surgery operation or heart transplantation. The visible damage to haemodynamics of the patients waiting for heart operations and particularly heart transplantations or after them has drawn the focus of heart surgeons to the mechanical systems of heart assist...
2004: Medicina
Ma José Casado Dones, Carmen Fernández Balcones, Ma Luisa Cacharro Caminero, Rosa Ma Cruz Martín, Noelia Pérez López, Cristina Moreno González
Intraaortic pump is used as a mechanical circulatory support device for patients with heart failure by means of a lot of causes. Because it requires constant attention is used mainly in intensive care units. By inflating and deflating intraaortic balloon increases flow to coronary circulation and relieves some of the hearts workload. A good synchronization between counterpulsation and the patients heartbeat is very important. Nursing cares during this process tries to prevent complications originated by the device: blood clots, haemorrhage, visceral or limb ischemia, risk of infection...
October 2002: Enfermería Intensiva
T Hájek, M Urban, J Mokrejs, M Horáková, J Knap
During the period between 2/2000 and 11/2000 21 patients with severe ventricular dysfunction were investigated (EF less than 30%) where in a planned manner intraaortic balloon counterpulsation was introduced before cardiac surgery. The low mortality (5%), zero incidence of complications caused by the method and the improvement of the contractility of the heart muscle, evaluated from a rise of the ejection fraction (EF) make so-called prophylactic use of contrapulsation possible as a method of first choice in severe myocardial dysfunction...
April 2001: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
A Criado, J Agosti, R Horno, C Jimenez
Contrapulsation by means of an intra-aortic balloon is an effective and well-known therapeutic measure in the postoperative period after cardiac surgery, mainly when interrupting cardiopulmonary bypass in left ventricular failure situation (3, 4). We present the case of a patient who developed paraplegia 38 hours after surgery, which was attributed to contrapulsation.
1981: Scandinavian Journal of Thoracic and Cardiovascular Surgery
V G Barvyn', E B Gorodkova
On the basis of the analysis of medical histories, clinical pattern of the disease, hemodynamic data and pathologic anatomical findings, conclusions are made as to causes of death in patients with acute myocardial infarction aggravated by cardiogenic shock (with intra-aortal balloon contrapulsation as part of combined treatment). They are mostly related to the duration of coronary disease in the different group of patients. The best results were obtained in cases where coronary disease had lasted for about five years, and the shock developed around 15 hours after the onset of myocardial infarction...
October 1982: Kardiologiia
Iu M Mikhaĭlov, M G Lepilin, A V Bondarenko, V V Abbakumov, B V Shabalkin
Intra-aortal balloon contrapulsation (IABC) was used as part of combined treatment for acute cardiac failure following cardiac surgery in 17 patients. The monitoring of cardiac output and pressure inside the heart's cavities (using the thermodilution method) showed IABC to produce an obvious hemodynamic effect. Six patients survived. Acute myocardial infarction as a cause of cardiac failure considerably aggravated the outcome. The final result of treatment was not satisfactory in such patients. It is stressed that IABC should be started as early as possible (not later than 2-3 hours after signs of acute heart failure first appear)...
October 1982: Kardiologiia
V I Shumakov, V E Tolpekin, A Kh Kazumov, S P Dragachev
No abstract text is available yet for this article.
February 1971: Kardiologiia
V I Shumakov, S P Dragachev, V E Tolpekin, E B Mogilevskiĭ, G P Itkin
No abstract text is available yet for this article.
1970: Kardiologiia
B K Mordashev, K A Kuznetsov, B O Tkachenko
Liver hemodynamics was experimentally studied in a model of acute heart failure caused by successive ligation of coronary artery branches and the following cardiogenic shock and during assisted circulation using intraaortic balloon contrapulsation. It has been established that intraaortic balloon contrapulsation promotes to the elimination of hemodynamic liver disturbances, however no final recovery of the organ hemodynamics was observed after 2 hours of contrapulsation. The method of intraaortic balloon contrapulsation is recommended at early stages of acute heart failure prior to the onset of profound ischemic changes in the liver...
September 1989: Anesteziologiia i Reanimatologiia
Iu V Nikiforov, A A Eremenko
The results of complex intensive therapy of cardiogenic shock have been studied in 17 patients with acute myocardial infarction developed as a complication of reconstructive surgery for ischemic heart disease. Complex therapy of cardiogenic shock included the use of intraaortic balloon contrapulsation, adrenomimetic agents, controlled lung ventilation and other intensive care procedures. 11 patients (64.7%) recovered from cardiogenic shock, 4 of them survived and were discharged from hospital. In 6 patients (35...
July 1991: Anesteziologiia i Reanimatologiia
P Nĕmec, M Druckmüller, V Stĕpánek, J Navrátilová, J Novák, J Vespalec
No abstract text is available yet for this article.
January 1978: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
V G Barvyn', N M Kaverin, V G Gorodkov, Iu A Perimov
The article deals with the first experience in the use of auxiliary circulation by contrapulsation with an intraaortic balloon during the transportation of patients with myocardial infarction complicated by cardiogenic shock from an unspecialized hospital to a cardiosurgical hospital. Transportation on the background of contrapulsation does not affect the efficacy of auxiliary circulation and does not lead to a recurrence. A conclusion is drawn on the experiency of using contrapulsation during transportation of patients with myocardial infarction complicated by cardiogenic shock to specialized cardiosurgical hospitals for continuation of auxiliary circulation and emergency revascularization of the myocardium...
January 1978: Kardiologiia
V E Tolpekin, K L Meluzov, A V Turchin
Business ends of operating mechanisms for assisted circulation, based on the principle of contrapulsation, must satisfy a number of requirements on which the safety and the effectiveness of their performance depend. Among these of particular importance are the working volume of the arrangement, correct conformity of the balloon and aorta diameters and also the duty cycle of the arrangement.
November 1977: Meditsinskaia Tekhnika
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