scholarly journals Comparison of left ventricular assist and intra-aortic balloon counterpulsation during early reperfusion after ischemic arrest of the heart

1987 ◽  
Vol 93 (4) ◽  
pp. 597-608 ◽  
Author(s):  
Lynda L. Mickleborough ◽  
Ivan Rebeyka ◽  
Gregory J. Wilson ◽  
Gordon Gray ◽  
Alain Desrosiers
Keyword(s):  
Left Ventricular ◽  
Ventricular Assist ◽  
Early Reperfusion ◽  
Left Ventricular Assist ◽  
Intra Aortic Balloon Counterpulsation ◽  
Balloon Counterpulsation

scholarly journals Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation?

2020 ◽  
Vol 17 (5) ◽  
pp. 247-260
Author(s):  
Jesse R. Kimman ◽  
Nicolas M. Van Mieghem ◽  
Henrik Endeman ◽  
Jasper J. Brugts ◽  
Alina A. Constantinescu ◽  
...  
Keyword(s):  
Cardiogenic Shock ◽  
Controlled Trial ◽  
Left Ventricular ◽  
Ventricular Assist ◽  
Coronary Syndrome ◽  
Iabp Support ◽  
Left Ventricular Assist ◽  
Hemodynamic Improvement ◽  
Intra Aortic Balloon Counterpulsation

Abstract Purpose of Review We aim to summarize recent insights and provide an up-to-date overview on the role of intra-aortic balloon pump (IABP) counterpulsation in cardiogenic shock (CS). Recent Findings In the largest randomized controlled trial (RCT) of patients with CS after acute myocardial infarction (AMICS), IABP did not lower mortality. However, recent data suggest a role for IABP in patients who have persistent ischemia after revascularization. Moreover, in the growing population of CS not caused by acute coronary syndrome (ACS), multiple retrospective studies and one small RCT report on significant hemodynamic improvement following (early) initiation of IABP support, which allowed bridging of most patients to recovery or definitive therapies like heart transplant or a left ventricular assist device (LVAD). Summary Routine use of IABP in patients with AMICS is not recommended, but many patients with CS either from ischemic or non-ischemic cause may benefit from IABP at least for hemodynamic improvement in the short term. There is a need for a larger RCT regarding the role of IABP in selected patients with ACS, as well as in patients with non-ACS CS.

Ultrastructural observations of the aorta of calves implanted with a mechanical left ventricular assist device

1990 ◽  
Vol 48 (3) ◽  
pp. 834-835
Author(s):  
J P Cassella ◽  
V Salih ◽  
T R Graham
Keyword(s):  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Aortic Tissue ◽  
Assist Device ◽  
Ventricular Assist ◽  
Transmission Electron ◽  
Left Ventricular Assist ◽  
Preliminary Study

Left ventricular assist systems are being developed for eventual long term or permanent implantation as an alternative to heart transplantation in patients unsuitable for or denied the transplant option. Evaluation of the effects of these devices upon normal physiology is required. A preliminary study was conducted to evaluate the morphology of aortic tissue from calves implanted with a pneumatic Left Ventricular Assist device-LVAD. Two 3 month old heifer calves (calf 1 and calf 2) were electively explanted after 128 days and 47 days respectively. Descending thoracic aortic tissue from both animals was removed immediately post mortem and placed into karnovsky’s fixative. The tissue was subsequently processed for transmission electron microscopy (TEM). Some aortic tissue was fixed in neutral buffered formalin and processed for routine light microscopy.

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