Ventricular assist devices for postcardiotomy cardiogenic shock. A combined registry experience.

摘要: Data submitted voluntarily to the combined registry since its inception in 1985 December 31, 1990, on use of ventricular assist devices for postcardiotomy cardiogenic shock 965 patients were analyzed. Approximately 45% weaned from temporary circulatory assistance and 24.6% reached hospital discharge regardless original operation. In 90% who discharged hospital, support was able be discontinued by 1 week. Rates weaning statistically different favored those requiring univentricular only. Results equal whether nonpulsatile centrifugal or pulsatile pneumatic used support. Although complications frequent multiple during pumping, patient variables including age greater than 70 years rather direct caused likely affect overall outcome. achieving discharge, 2-year actuarial survival 82% with 86% being New York Heart Association functional class I II. rare instances device dependency 43 (4.5%) no contraindications transplantation, 32 (74.4%) underwent bridge cardiac transplant 20 (62.5%) discharged. This multiinstitutional experience would continue shock. (J T horac C ardiovasc S urg 1992;104:541-53)