Mechanical support for postcardiotomy cardiogenic shock: Has progress been made?

Erik A. Sylvin, David R. Stern, Daniel J. Goldstein

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Postcardiotomy cardiogenic shock (PCCS) complicates 0.2% to 6% of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25% of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.

Original languageEnglish (US)
Pages (from-to)442-454
Number of pages13
JournalJournal of Cardiac Surgery
Volume25
Issue number4
DOIs
StatePublished - Jul 2010

Fingerprint

Cardiogenic Shock
Thoracic Surgery
Databases
Technology
Morbidity
Equipment and Supplies
Survival
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Mechanical support for postcardiotomy cardiogenic shock : Has progress been made? / Sylvin, Erik A.; Stern, David R.; Goldstein, Daniel J.

In: Journal of Cardiac Surgery, Vol. 25, No. 4, 07.2010, p. 442-454.

Research output: Contribution to journalArticle

@article{daccd68039f14780afd27416b9b280f6,
title = "Mechanical support for postcardiotomy cardiogenic shock: Has progress been made?",
abstract = "Postcardiotomy cardiogenic shock (PCCS) complicates 0.2{\%} to 6{\%} of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25{\%} of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.",
author = "Sylvin, {Erik A.} and Stern, {David R.} and Goldstein, {Daniel J.}",
year = "2010",
month = "7",
doi = "10.1111/j.1540-8191.2010.01045.x",
language = "English (US)",
volume = "25",
pages = "442--454",
journal = "Journal of Cardiac Surgery",
issn = "0886-0440",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Mechanical support for postcardiotomy cardiogenic shock

T2 - Has progress been made?

AU - Sylvin, Erik A.

AU - Stern, David R.

AU - Goldstein, Daniel J.

PY - 2010/7

Y1 - 2010/7

N2 - Postcardiotomy cardiogenic shock (PCCS) complicates 0.2% to 6% of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25% of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.

AB - Postcardiotomy cardiogenic shock (PCCS) complicates 0.2% to 6% of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25% of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.

UR - http://www.scopus.com/inward/record.url?scp=77954358179&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954358179&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8191.2010.01045.x

DO - 10.1111/j.1540-8191.2010.01045.x

M3 - Article

C2 - 20487107

AN - SCOPUS:77954358179

VL - 25

SP - 442

EP - 454

JO - Journal of Cardiac Surgery

JF - Journal of Cardiac Surgery

SN - 0886-0440

IS - 4

ER -