Mechanical support for postcardiotomy cardiogenic shock.
D. J. Goldstein, M. C. Oz
Postcardiotomy cardiogenic shock (PCCS) results in substantial morbidity and mortality. Despite intraaortic balloon pump and inotropic support, some patients with PCCS continue to have a refractory low cardiac output. For these patients, more effective ventricular assistance is imperative to prevent death. Multiple systems are available for the short-term support of patients with PCCS. Regardless of the device employed, only 25% of these patients survive and are discharged home. Two strategies, however, may improve the outcome of PCCS. One is long-term support by an implantable assist device, which can allow optimal ventricular unloading. Unfortunately, not all cardiac surgery centers offer this type of support. Therefore, the other strategy is the creation of postcardiotomy referral centers that offer long-term support or heart transplantation. Such centers would conserve scarce donor organs, maximize the chance of myocardial recovery, and yield expertise applicable not only to device recipients but also to critically ill heart-failure patients who do not need an implantable pump.
Seminars in thoracic and cardiovascular surgery
https://doi.org/10.1053/stcs.2000.9666
10.1053/stcs.2000.9666
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Cardiogenic Shock Medicine & Life Sciences 100%
Equipment and Supplies Medicine & Life Sciences 30%
Low Cardiac Output Medicine & Life Sciences 22%
Critical Illness Medicine & Life Sciences 15%
Thoracic Surgery Medicine & Life Sciences 15%
Tissue Donors Medicine & Life Sciences 13%
Referral and Consultation Medicine & Life Sciences 12%
Goldstein, D. J., & Oz, M. C. (2000). Mechanical support for postcardiotomy cardiogenic shock. Seminars in thoracic and cardiovascular surgery, 12(3), 220-228. https://doi.org/10.1053/stcs.2000.9666
Mechanical support for postcardiotomy cardiogenic shock. / Goldstein, D. J.; Oz, M. C.
In: Seminars in thoracic and cardiovascular surgery, Vol. 12, No. 3, 07.2000, p. 220-228.
Goldstein, DJ & Oz, MC 2000, 'Mechanical support for postcardiotomy cardiogenic shock.', Seminars in thoracic and cardiovascular surgery, vol. 12, no. 3, pp. 220-228. https://doi.org/10.1053/stcs.2000.9666
Goldstein DJ, Oz MC. Mechanical support for postcardiotomy cardiogenic shock. Seminars in thoracic and cardiovascular surgery. 2000 Jul;12(3):220-228. https://doi.org/10.1053/stcs.2000.9666
Goldstein, D. J. ; Oz, M. C. / Mechanical support for postcardiotomy cardiogenic shock. In: Seminars in thoracic and cardiovascular surgery. 2000 ; Vol. 12, No. 3. pp. 220-228.
@article{19b2ddab518743e38079017e26fb9a22,
title = "Mechanical support for postcardiotomy cardiogenic shock.",
abstract = "Postcardiotomy cardiogenic shock (PCCS) results in substantial morbidity and mortality. Despite intraaortic balloon pump and inotropic support, some patients with PCCS continue to have a refractory low cardiac output. For these patients, more effective ventricular assistance is imperative to prevent death. Multiple systems are available for the short-term support of patients with PCCS. Regardless of the device employed, only 25% of these patients survive and are discharged home. Two strategies, however, may improve the outcome of PCCS. One is long-term support by an implantable assist device, which can allow optimal ventricular unloading. Unfortunately, not all cardiac surgery centers offer this type of support. Therefore, the other strategy is the creation of postcardiotomy referral centers that offer long-term support or heart transplantation. Such centers would conserve scarce donor organs, maximize the chance of myocardial recovery, and yield expertise applicable not only to device recipients but also to critically ill heart-failure patients who do not need an implantable pump.",
author = "Goldstein, {D. J.} and Oz, {M. C.}",
doi = "10.1053/stcs.2000.9666",
journal = "Seminars in Thoracic and Cardiovascular Surgery",
T1 - Mechanical support for postcardiotomy cardiogenic shock.
AU - Goldstein, D. J.
AU - Oz, M. C.
N2 - Postcardiotomy cardiogenic shock (PCCS) results in substantial morbidity and mortality. Despite intraaortic balloon pump and inotropic support, some patients with PCCS continue to have a refractory low cardiac output. For these patients, more effective ventricular assistance is imperative to prevent death. Multiple systems are available for the short-term support of patients with PCCS. Regardless of the device employed, only 25% of these patients survive and are discharged home. Two strategies, however, may improve the outcome of PCCS. One is long-term support by an implantable assist device, which can allow optimal ventricular unloading. Unfortunately, not all cardiac surgery centers offer this type of support. Therefore, the other strategy is the creation of postcardiotomy referral centers that offer long-term support or heart transplantation. Such centers would conserve scarce donor organs, maximize the chance of myocardial recovery, and yield expertise applicable not only to device recipients but also to critically ill heart-failure patients who do not need an implantable pump.
AB - Postcardiotomy cardiogenic shock (PCCS) results in substantial morbidity and mortality. Despite intraaortic balloon pump and inotropic support, some patients with PCCS continue to have a refractory low cardiac output. For these patients, more effective ventricular assistance is imperative to prevent death. Multiple systems are available for the short-term support of patients with PCCS. Regardless of the device employed, only 25% of these patients survive and are discharged home. Two strategies, however, may improve the outcome of PCCS. One is long-term support by an implantable assist device, which can allow optimal ventricular unloading. Unfortunately, not all cardiac surgery centers offer this type of support. Therefore, the other strategy is the creation of postcardiotomy referral centers that offer long-term support or heart transplantation. Such centers would conserve scarce donor organs, maximize the chance of myocardial recovery, and yield expertise applicable not only to device recipients but also to critically ill heart-failure patients who do not need an implantable pump.
U2 - 10.1053/stcs.2000.9666
DO - 10.1053/stcs.2000.9666
JO - Seminars in Thoracic and Cardiovascular Surgery
JF - Seminars in Thoracic and Cardiovascular Surgery