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Ann Thorac Surg 2007;84:690-692
© 2007 The Society of Thoracic Surgeons

How To Do It

Off-Pump Coronary Artery Bypass Graft Surgery With a Pulsatile Catheter Pump for Left Ventricular Dysfunction

Massimo A. Mariani, MD, PhD*, Jan C. Diephuis, MD, Martin J.H. Kuipers, Bsc, Monica Gianoli, MD, Jan G. Grandjean, MD, PhD

Cardiothoracic Surgery, Thoraxcentrum Twente, Enschede, the Netherlands

Accepted for publication December 11, 2006.

* Address correspondence to Dr Mariani, Thoraxcentrum Twente, Haaksbergerstraat 55, PO Box 50 000, Enschede, 7500 KA, the Netherlands (Email: m.mariani{at}ziekenhuis-mst.nl).

We describe the use of a novel device, the pulsatile catheter pump, in patients with left ventricular dysfunction undergoing off-pump coronary surgery. During a 1-year period, 14 patients (mean ejection fraction 28% ± 8%) underwent off-pump coronary surgery using the pulsatile catheter pump. We recorded neither mortality nor major adverse cardiovascular and cerebral events. Mean support time was 55 ± 13 minutes. The average flow generated by the pulsatile catheter pump, as calculated per patient, was 2.4 ± 0.2 L/min (range, 2.2 to 2.8 L/min). Our results show that the pulsatile catheter pump is clinically safe and provides adequate mechanical circulatory support in patients with impaired left ventricular function undergoing off-pump coronary artery surgery.




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