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

This Article Full Text 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 Author home page(s): Lyle D. Joyce Joseph C. Kiser Frazier Eales R. Michael King Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Joyce, L. D. Articles by Toninato, C. J. Search for Related Content PubMed PubMed Citation Articles by Joyce, L. D. Articles by Toninato, C. J.

Ann Thorac Surg 1996;61:287-290
© 1996 The Society of Thoracic Surgeons

---

Experience With Generally Available Devices

Experience With Generally Accepted Centrifugal Pumps: Personal and Collective Experience

Minneapolis Heart Institute, Minneapolis, Minnesota

Abstract

Background. The data presented are a brief summary of The International Registry for Mechanical Ventricular Assist Pumps and Artificial Hearts and a summary of the personal experience of the Minnesota Thoracic Associates at the Minneapolis Heart Institute with the use of the Sarns centrifugal pump from May 1985 to September 1994.

Methods. Ventricular support with the use of centrifugal pumps for postcardiotomy shock consisted of cannulation of the left atrium and aorta for left ventricular support and the right atrium and pulmonary artery for right ventricular support, or the combination of the two for biventricular support.

Results. The average survival and discharge rate recorded by the National Registry for postcardiotomy syndrome was 25.3%. Our experience at Minnesota Thoracic Associates was 54%. The National Registry reported 45.7% of the patients being weaned from the device or receiving transplants and 25.3% of the patients ultimately discharged from the hospital. Sixty-five percent of the patients in our experience either were weaned from the device or received a transplant for an overall discharge rate of 42%. The average effective hospital cost per survivor was almost $400,000.00.

Conclusions. It is our belief that when considering the cost analysis of temporary devices, one must conclude that a more economical approach for the treatment of end-stage cardiac disease would be aggressive development of a permanent ventricular assist device.

This article has been cited by other articles:

				S. Osaki, N. M. Edwards, M. R. Johnson, and T. Kohmoto A novel use of the implantable ventricular assist device for isolated right heart failure Interact CardioVasc Thorac Surg, August 1, 2008; 7(4): 651 - 653. [Abstract] [Full Text] [PDF]

				E. C. McGee Jr., P. M. McCarthy, and N. Moazami Temporary Mechanical Circulatory Support Card. Surg. Adult, January 1, 2008; 3(2008): 507 - 534. [Full Text]

				S. Aggarwal, F. Cheema, M. C. Oz, and Y. Naka Long-Term Mechanical Circulatory Support Card. Surg. Adult, January 1, 2008; 3(2008): 1609 - 1628. [Full Text]

				A. A. Pitsis, A. N. Visouli, D. Burkhoff, P. Dardas, N. Mezilis, G. Bougioukas, and G. Filippatos Feasibility Study of a Temporary Percutaneous Left Ventricular Assist Device in Cardiac Surgery Ann. Thorac. Surg., December 1, 2007; 84(6): 1993 - 1999. [Abstract] [Full Text] [PDF]

				M. Mert, A. Akcevin, C. E Yildiz, and K. Suzer Postoperative Mechanical Circulatory Support with Biomedicus Centrifugal Pump Asian Cardiovasc Thorac Ann, March 1, 2005; 13(1): 38 - 41. [Abstract] [Full Text] [PDF]

				N. Moazami and P. M. McCarthy Temporary Circulatory Support Card. Surg. Adult, January 1, 2003; 2(2003): 495 - 520. [Full Text]

				A K Mahmood, J M Courtney, S Westaby, M Akdis, and H Reul Critical review of current left ventricular assist devices Perfusion, September 1, 2000; 15(5): 399 - 420. [PDF]

				J. R Pepper Surgery for heart failure: options and outcomes Perfusion, July 1, 2000; 15(4): 287 - 293. [PDF]

				H. B. Hangler, J. O. Bonatti, H. Antretter, P. Mair, and L. C. Muller Isolated right ventricular assist for postcardiotomy myocardial infarction Ann. Thorac. Surg., December 1, 1999; 68(6): 2326 - 2328. [Abstract] [Full Text] [PDF]

				J. J. Curtis, J. T. Walls, C. C. Wagner-Mann, R. A. Schmaltz, T. L. Demmy, C. A. McKenney, and F. A. Mann Centrifugal pumps: description of devices and surgical techniques Ann. Thorac. Surg., August 1, 1999; 68(2): 666 - 671. [Abstract] [Full Text] [PDF]

				N. G. Smedira, C. C. Hlozek, and P. M. McCarthy Mechanical Support After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1998; 2(1): 66 - 77. [Abstract] [PDF]