Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Goldman, A.
Right arrow Articles by Corday, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Goldman, A.
Right arrow Articles by Corday, E.
(Chest. 1966;50:633-640.)
© 1966 American College of Chest Physicians

Veno-Arterial Pulsatile Partial Bypass for Circulatory Assist

Alfred Goldman M.D., F.C.C.P.1; Erno Boszormenyi M.D.1; Fumihiko Utsu M.D.1; Viorica Enescu M.D.1; Harold J. C. Swan M.D.1; and Eliot Corday M.D., F.C.C.P.1

1 Medical Research Institute, Cedars of Lebanon Division, Cedars-Sinai Medical Center, and Departments of Medicine and Thoracic Surgery

A method is described for circulatory assist utilizing the Simas computerized pulsatile postsystolic augmentation system adapted and modified for veno-arterial pumping with an oxygenator-heat-exchanger. This veno-arterial circulatory assist system has been compared with arterio-arterial pumping in 74 dogs.

In shock states the benefits to regional flows and particularly to the coronary and carotid flows are much higher for the veno-arterial system.

In 27 dogs pumped during one hour's ventricular fibrillation, coronary flows could not be adequately maintained with A-A pumping, but with V-A pumping coronary flow was restored to pre-pump or higher levels (normal sinus rhythm) and the mean value was two and one-half times the control values. The myocardium was readily converted from ventricular fibrillation to sinus rhythm by cardioversion.

Clinical applications are discussed and therapeutic trials in selected cases with shock states as well as ventricular fibrillation appear to be warranted.




This article has been cited by other articles:


Home page
 J Biomater ApplHome page
J. Hager, F. Brandstaetter, O. Dietze, I. Koller, and F. Unger
The Spindle Pump--A Nonpulsatile Blood Pump for Assisted Circulation
J Biomater Appl, January 1, 1990; 4(3): 225 - 330.



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1966 by the American College of Chest Physicians.