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 |
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Rok vydání: | 2017 |
Předmět: |
Male
Inotrope medicine.medical_specialty medicine.medical_treatment Shock Cardiogenic Hemodynamics 030230 surgery Liver transplantation 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans Balloon pump Transplantation Intra-Aortic Balloon Pumping Medical treatment business.industry Cardiogenic shock Middle Aged Prognosis medicine.disease Liver Transplantation Cardiology Etiology Female 030211 gastroenterology & hepatology business Hemodynamic instability |
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 |
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