HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Wiebalck, A. C. Articles by Flameng, W. J. Search for Related Content PubMed PubMed Citation Articles by Wiebalck, A. C. Articles by Flameng, W. J.

The Annals of Thoracic Surgery, Vol 55, 1141-1146, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Left ventricular assist with an axial flow pump (Hemopump): clinical application

AC Wiebalck, PF Wouters, FR Waldenberger, B Akpinar, PM Lauwers, RH Demeyere, PT Sergeant, WJ Daenen and WJ Flameng
Department of Cardiac Surgery, University Clinic Gasthuisberg, Katholieke Universiteit Leuven, Belgium.

Eighteen patients suffering from acute left heart failure were selected as candidates for Hemopump support. In 6 patients, peripheral atheromatosis prevented insertion of the device. Of the remaining 12 patients, 9 had postcardiotomy shock, 2 had acute rejection after orthotopic heart transplantation, and 1 had acute myocardial infarction complicated by a large postinfarction ventricular septal defect. During Hemopump support, hemodynamics recovered in all patients. Major complications were related to mechanical pump failure, such as fracture of the drive cable and expulsion of the cannula out of the ventricle, or to hemolysis of variable degree. Seven patients (58%) survived and were discharged from the hospital: the 2 patients bridged to heart transplantation and 5 of the 9 postcardiotomy patients, including 1 who could not be weaned but later underwent successful transplantation. The patient with the postinfarction ventricular septal defect died after removal of the device because of hemolysis. These results indicate that the Hemopump is a relatively noninvasive and efficacious left ventricular system of moderate power.

This article has been cited by other articles:

				T. Schmidt, J. Siefker, S. Spiliopoulos, and O. Dapunt New experience with the paracardial right ventricular axial flow micropump impella elect 600 Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 307 - 308. [Abstract] [Full Text] [PDF]

				F. B.Y. Hoy, D. K. Mueller, D. M. Geiss, J. R. Munns, L. M. Bond, C. E. Linett, and R. C. Gomez Bridge to recovery for postcardiotomy failure: is there still a role for centrifugal pumps? Ann. Thorac. Surg., October 1, 2000; 70(4): 1259 - 1263. [Abstract] [Full Text] [PDF]

				B. Peterzen, U. Lonn, A. Babic, H. Granfeldt, H. Casimir-Ahn, and H. Rutberg Postoperative Management of Patients With Hemopump Support After Coronary Artery Bypass Grafting Ann. Thorac. Surg., August 1, 1996; 62(2): 495 - 500. [Abstract] [Full Text]

				R. J. Kaplon, M. C. Oz, P. A. Kwiatkowski, H. R. Levin, A. S. Shah, R. K. Jarvik, and E. A. Rose Miniature axial flow pump for ventricular assistance in children and small adults J. Thorac. Cardiovasc. Surg., January 1, 1996; 111(1): 13 - 18. [Abstract] [Full Text]

				G. D. Dreyfus Hemopump 31, the Sternotomy Hemopump: Clinical Experience Ann. Thorac. Surg., January 1, 1996; 61(1): 323 - 328. [Abstract] [Full Text]

				B. P. Meyns, P. T. Sergeant, W. J. Daenen, and W. J. Flameng Left Ventricular Assistance With the Transthoracic 24F Hemopump for Recovery of the Failing Heart Ann. Thorac. Surg., August 1, 1995; 60(2): 392 - 397. [Abstract] [Full Text]

				G. J. Cooper, D. Y. Loisance, M. Miyama, Y. Abe, and P. H. Deleuze Direct Mechanical Assistance of the Right Ventricle With the Hemopump in a Porcine Model Ann. Thorac. Surg., February 1, 1995; 59(2): 443 - 447. [Abstract] [Full Text]