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[External ventricular support in primary cardiogenic shock].

R Houël1, E Vermes, P Le Besnerais

  • 1Service de chirurgie thoracique et cardiovasculaire, CNRS UPRES-A 7054, association Claude-Bernard, hôpital Henri-Mondor, Créteil.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|June 1, 2000
PubMed
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This summary is machine-generated.

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External mechanical ventricular assist devices offer a reliable option for severe primary cardiogenic shock patients, enabling weaning or bridging to transplantation in carefully selected individuals.

Area of Science:

  • Cardiology
  • Mechanical Circulatory Support

Context:

  • Primary cardiogenic shock presents a significant clinical challenge with high mortality.
  • Mechanical assist devices have advanced, improving outcomes in recent years.

Purpose:

  • To evaluate the efficacy and outcomes of external mechanical ventricular assist devices in patients with primary cardiogenic shock.

Summary:

  • Nineteen patients with severe primary cardiogenic shock (cardiomyopathies, myocardial infarctions, myocarditis) received external ventricular assist devices.
  • Four patients were weaned, ten received heart transplantation, and seven utilized portable consoles for ambulation.
  • Complications included death under mechanical support (26.9%), post-transplantation mortality, and various adverse events like infections and bleeding.

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Impact:

  • External biventricular assist devices are a viable option for severe primary cardiogenic shock, facilitating recovery or serving as a bridge to transplantation.
  • Careful patient selection is crucial for successful outcomes with these devices.