ASAIO transactions / American Society for Artificial Internal Organs
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Mechanical ventricular assist devices (VADs) have led to survival in patients who develop postcardiotomy cardiogenic shock (PCCS) refractory to conventional therapies. To elicit determinants of survival, the authors reviewed records of 26 patients at our institution who required Pierce-Donachy VADs for PCCS. Thirteen patients were weaned from ventricular assistance (50%), nine (34.6%) achieved long-term survival, and 17 died. ⋯ Perioperative myocardial infarction and renal failure were found to be univariate determinants of survival. Inadequate cardiac output and biventricular failure preclude weaning from mechanical circulatory assistance. Survival is associated with the expeditious establishment of assist pumping, and with the avoidance of irreversible perioperative myocardial injury and renal failure.
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Comparative Study Clinical Trial
A controlled clinical trial of a new 3-step therapy that includes extracorporeal CO2 removal for ARDS.
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Comparative Study
Slow continuous hemofiltration and slow continuous ultrafiltration.