Management of acute cardiac failure with mechanical assist: experience with the ABIOMED BVS 5000.
Publication/Presentation Date
3-1-2001
Abstract
BACKGROUND: Mechanical circulatory assist industries have developed ventricular assist devices (VAD) for short-, intermediate-, and long-term use. The purpose of this report is to describe the progress made with the ABIOMED Biventricular System (BVS) 5000 (ABIOMED, Inc, Danvers, MA) short-term VAD.
METHODS: From June 1994 through August 2000, all cardiogenic shock patients who required short-term mechanical assist were supported with the ABIOMED BVS 5000. Insertion criteria included any condition that may potentially result in cardiac recovery. A formal algorithm for timing of insertion was established to standardize implantation criteria.
RESULTS: A total of 45 patients were supported at Hahnemann University Hospital, Philadelphia, PA. There were 26 male and 19 female patients, with a mean age of 57.9 years (range 33 to 80 years). Devices were inserted for postcardiotomy shock in 36 patients (80%) and precardiotomy shock in 9 patients (20%). The average duration of support was 8.3 days (range 1 to 31 days). Overall, there were 22 (49%) patients weaned from support and 14 (31%) discharged from the hospital. For patients in whom the device was implanted in accordance with an established protocol (group A), the wean and discharge rates were 60% and 43%, respectively. The most common morbidities included bleeding and adverse neurologic events.
CONCLUSIONS: The ABIOMED BVS 5000 VAD continues to be a valuable form of short-term mechanical assist for acute cardiogenic shock. The formation of a uniform VAD insertion algorithm has helped to standardize protocols in management.
Volume
71
Issue
3 Suppl
First Page
67
Last Page
72
ISSN
0003-4975
Published In/Presented At
Samuels, L. E., Holmes, E. C., Thomas, M. P., Entwistle, J. C., 3rd, Morris, R. J., Narula, J., & Wechsler, A. S. (2001). Management of acute cardiac failure with mechanical assist: experience with the ABIOMED BVS 5000. The Annals of thoracic surgery, 71(3 Suppl), S67–S85. https://doi.org/10.1016/s0003-4975(00)02644-8
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
11265869
Department(s)
Administration and Leadership
Document Type
Article