Use of intra-aortic counterpulsation in cardiogenic shock post-liver transplantation

Autor: Jacob E. Dowden, Kenneth D. Chavin, Satish N. Nadig, William D. Stoll, John W. McGillicuddy, Arun P. Palanisamy, Gabriel R. Chedister, David G. Koch
Rok vydání: 2017
Předmět:
Zdroj: Clinical Transplantation. 31:e13002
ISSN: 0902-0063
DOI: 10.1111/ctr.13002
Popis: Left ventricular dysfunction resulting in cardiogenic shock occurs infrequently following organ reperfusion in liver transplantation. The etiology of the cardiogenic shock is often multifactorial and difficult to manage due to the complex nature of the procedure and the patient's baseline physiology. Traditionally, this hemodynamic instability is managed medically using inotropic agents and vasopressor support. If medical treatment is insufficient, the use of an intra-aortic balloon pump for counterpulsation may be employed to improve the hemodynamics and stabilize the patient. Here, we analyze three cases and review the literature.
Databáze: OpenAIRE