Clinical Physiology of Circulation
ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)
Chief Editor
Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery
Sort by
The evolution of circulatory support pump therapy techniques counterpulsation
Authors:
Company:
Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation,
Rublevskoe shosse, 135, Moscow, 121552, Russian Federation
E-mail: Сведения доступны для зарегистрированных пользователей.
DOI:
UDC: 616.12-089.8-78
Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (3): 131-145
Quote as: Kovalenko O.A. The evolution of circulatory support pump therapy techniques counterpulsation. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (3): 131–45 (in Russ.). DOI: 10.24022/1814-6910-2017-14-3-131-145
Keywords:
mechanical circulatory support
physiological principles counterpulsation
diastolic increase
internal counterpulsation
external counterpulsation
Received / Accepted: 27.02.2017/21.03.2017
Abstract
In 2017 marks the 50th anniversary of the first successful clinical use of intra-aortic balloon counterpulsation. The article reveals the basic physiological principles counterpulsation. Presents historical aspects of the development of various methods of assisted circulation, have undergone significant changes from direct arterio-arterial counterpulsation to implantable intra modification Kantrowitz Cardio VADTM. Advances in polymer chemistry and microelectronics development helped to create modern actuators and actuator itself – intra-aortic balloon for circulatory support. In Bakoulev NSPCCS has accumulated vast experience in the application of different methods counterpulsation: from the use of arterio-arterial, intra-aortic and to the outside of counterpulsation. Since 1962, we began basic research using this method circulatory support. Knowledge of basic physiological principles and application criteria will allow cardioreanimatologists and cardiac surgeons to use this method of circulatory support in clinical practice most effectively.References
1. Kantrowitz A., Kantrowitz A. Experimental augmentationof coronary flow by retardation of the arterial pressure
pulse. Sergery. 1953; 34: 678–87.
2. Kantrowitz A., McKinnon W.M.P. The experimental
use of the diaphragm as an auxiliary myocardium. Surg.
Forum. 1958; 9: 266–8.
3. Patterson T., Perera D., Redwood S.R. Intra-aortic balloon
pump for high-risk percutaneous coronary intervention.
Circ. Cardiovasc. Interv. 2014; 7: 712–20.
4. Амосов Н.М. Опыт синхронизированного нагнета-
ния крови в эксперименте с помощью перфузион-
ного насоса с биоэлектрическим управлением. Ме-
дицинская промышленность СССР. 1966; 3: 43.
5. Чазов Е.И., Трубецкой Ф.В., Руда М.Я. Опыт экс-
периментального применения противопульсации.
Кардиология. 1966; 2: 38.
6. Harken D.E. Presentation at the International College
of Cardiology, Brussels, Belgium; 1958.
7. Clauss R.H., Birtwell W.C., Albertal G., et al. Assisted
circulation. The arterial counterpulsator. J. Torac.
Cardiovasc. Surg. 1961; 42: 447–58.
8. Lefemine A., Henry B.C., Low W.D., Cohen L.,
Lunzer S., Harken D.E. Assisted circulation. III. The
effect of synchronized arteria, counterpulsation on
myocardial oxygen consumption and coronary flow.
Am. Heart J. 1962; 64 (6): 789–95.
9. Watkins D.H., Duchesne E.R. Postsystolic myocardial
augmentation. I. Developmental considerations and
technique. Trans. West. Surg. Ass. 1960; 68: 51.
10. Watkins D.H., Callaghan P.B. Postsystolic myocardial
augmentation: Clinical applications utilizing the pressure
pulse generator. Arch. Surg. 1965; 89: 547.
11. Scheidt S., Collins M., Goldstein J., Fisher J. Mechanical
circulatory assistance with the intraaortic balloon
pump and other counterpulsation devices. Prog.
Cardiovasc. Dis. 1993; 25: 55–61.
12. Шумаков В.И., Толпекин В.Е. Вспомогательное
кровообращение: достижения и проблемы. Кар-
диология. 1976; 1: 10–6.
13. Шумаков В.И., Толпекин В.Е., Куваев А.Е. и др.
Влияние контрпульсации на гемодинамику в зави-
симости от места подключения насоса к артериаль-
ной системе. Кардиология. 1970; 9: 104.
14. Kantrowitz A., Tjnneland S. Auxiliary ventricle. United
States Patent Office. 3,553,736. Nov. 25, 1968. Brooklyn.
15. Бураковский В.И., Барвынь В.Г. Кардиогенный
шок и его лечение контрпульсацией. Кардиология.
1978; 1: 9–16.
16. Topaz S.R. How the balloon pump was conceived: a personal
reminiscence. Cardiovasc. Dis. Bull. Texas Heart
Ins. 1977; 4: 423–7.
17. Moulopoulos S.D., Topaz S., Kolff W.J. Diastolic balloon
pumping (with carbon dioxide) in the aorta:
a mechanical assistance to the failing circulation. Am.
Heart J. 1962; 62: 669–75.
18. Moulopoulos S.D., Stephen R., Topaz S. et al. Extracorporeal
assistance to the circulation and intraaortic
ballon pumping. Trans. Am. Soc. Artif. Intern. Organs.
1962; 7: 85.
19. Kantrowitz A., Tjonneland S., Freed P.S., Phillips S.J.,
Burner A.N., Sherman J.L. Initial clinical experience
with intraaortic, balloon pumping in cardiogenic
ahock. JAMA. 1968; 203: 135–40.
20. Kantrowitz A., Tjonneland S., Krakauer J.S., Phillips S.J.,
Freed P.S., Burner A.N. Mechanical intraaortic cardiac
assistance in cardiogenic ahock. Arch. Surg. 1968; 97:
1000–4.
21. Summers D.N., Kaplitt M., Norris J. et al. Intraaortic
balloon pumping: hemodynamic and metabolic effects
during cardiogenic shock in patients with triple coronary
artery obstructive disease. Arch. Surg. 1969; 99: 733–8.
22. Bregman D., Kripke D.C., Goetz R.H. The effect of
synchoninous unidirectional intra-aortic balloon pumping
on hemodynamics and coronary blood flow in cardiogenic
shock. Trans. Am. Soc. Artif. Intern. Organs.
1970; 1069 (99): 733–8.
23. Buckley M.J., Leinbach R.C., Kastor J.A. et al.
Hemodinamic evaluation of intra-aortic balloon pumping
in man. Circulation. 1970; 41 (Suppl. II): 130–6.
24. Subramanian V.A., Goldstein J.E., Sos T.A. et al.
Preliminary clinical experience with percutaneous
intraaortic balloon pumping. Circulation. 1981; 62: 123.
25. Bregman D., Nichols A.B., Weiss M.B. et al. Percutaneous
balloon pump insertion. Am. J. Cardiol. 1980; 46:
261–4.
26. Kantrowitz A., Krakauer J.S., Rubenfire M. et al. Initial
clinical experience with a new permanent mechanical
auxiliary ventricle: the dynamic aortic patch. Trans. Am.
Soc. Artif. Intern. Organs. 1972; 18: 159–67.
27. Jeevanandam V., Jayakar D., Anderson A.S., Martin S.,
Piccione W. Jr, Heroux A.L. et al. Circulatory assistance
with a permanent implantable IABP: initial
human experience. Circulation. 2002; 106: 1–183.
28. Snyder R., Freed P.S., Anderson A., Jeevanandam V.,
Kantrowitz A. Clinical reliability of the Kantrowitz cardiovad
blood pump. ASAIO J. 2002; 48 (2): 168.
29. Creswell L.L., Rosenbloom M., Cox L., Ferguson T.B.,
Kouchoukos N.T. Intraaortic balloon counterpulsation:
patterns of usage and outcome in cardiac surgery
patients. Ann. Thorac. Surg. 1992; 54 (1): 11–20.
30. Xiao-yun Zheng, Yi Wang, Yi Chen, Xi Wang, Lei
Chen, Jun Li, Zhi-gang Zheng. The effectiveness of
intra-aortic balloon pump for myocardial infarction in
patients with or without cardiogenic shock: a metaanalysis
and systematic review. BMC Cardiovasc. Dis.
2016; 16: 148.
31. Pöss J., Köster J., Fuernau G., Eitel I., De Waha S.,
Ouarrak T. et al. Risk stratification for patients in cardiogenic
shock after acute myocardial infarction. JACC.
2017; 69 (15): 1913–20.
32. Jiang X., Zhu Z., Ye M., Zheng J., Dai Q. et al. Clinical
application of intra-aortic balloon pump in patients
with cardiojenic shock during the perioperative period
of cardiac surgery. Exp. Ther. Med. 2017; 13 (5): 1741–8.
33. Poirier Y., Voisine P., Plourde G., Rimac G., Perez A.B.,
Costerousse O., Bertrand O.F. Efficacy and safety of
preoperative intra-aortic balloon pump use in patients
undergoing cardiac surgery: a systematic review and
meta-analysis. Int. J. Cardiol. 2016; 207: 67–79.
34. Yuan L., Nie S.P. Efficacy of intra-aortic balloon pump
before versus after primary percutaneous coronary
intervention in patients with cardiogenic shock from
ST-elevation myocardial infarction. Clin. Med. J.
(Engl). 2016; 129 (12): 1400–5.
35. Lee C., Djalalov S., Xie X., Holubowich C. Percutaneous
ventricular assist devices: a health technology
assessment. Health Quality Ontario. Ont. Health
Technol. Assess. Ser. 2017; 17 (2): 1–97.
36. Okadome K., Hayashi H., Higashi T., Takayama H.,
Sakamoto K., Kuroki H. et al. Intra-aortic balloon
pump-assisted major hepatectomy in a case with coronary
disease. Surg. Case Rep. 2015; 1: 112.
37. Докукин А.В., Белиловский М.А. Анализ факторов,
определяющих эффективность противопульсации.
Новости медицинского приборостроения. 1968; 3: 158.
38. Докукин А.В. Гемодинамические основы синхрони-
зированного вспомогательного кровообращения.
М.: Медицина; 1972.
39. Белиловский М.А. Перфузионный насос с биоэле-
ктрическим управлением. Медицинская промыш-
ленность СССР. 1965; 2: 58.
40. Dennis C., Moreno J.R., Hall D.P. et al. Studies on
external counterpulsation as a potential measure for
acute left heart failure. Trans. Am. Soc. Artif. Intern.
Organs. 1963; 9: 186–91.
41. Soroff H.S., Ruiz U., Birtwell W.C. et al. Assisted circulation
by external pressure variation. Israel J. Med.
Sci. 1969; 5: 506–14.
42. Tecson K.M., Silver M.A., Brune S.D., Cauthen C.,
Kwan M.D., Schussler J.M. et al. Impact of enhanced
external counterpulsation on heart failure rehospitalization
in patients with ischemic cardiomyopathy. Am.
J. Cardiol. 2016; 117 (6): 901–5.
43. Barsness G., Feldman A.M., Holmes D.R. et al. The
International EECP Patient Registry (IEPR): design,
methods, baseline characteristics and acute results.
Clin. Cardiol. 2002; 25 (6): 435–42.
44. Bagger J.P., Hall R.J., Koutroulis G., Nihoyannopolos P.
Effect of enhanced external counterpulsation on dobutamin-
induced left ventricular wall motion abnormalities
in severe chronic angina pectoris. Am. J. Cardiol.
2004; 93 (4): 465–7.
45. Бокерия Л.А., Ермоленко М.Л., Байрамуко-
ва М.Х. Наружная контрпульсация – эффектив-
ный метод лечения рефрактерной стенокардии.
Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2005;
6 (4): 6–9.
46. Бузиашвили Ю.И., Камардинов Д.Х., Мацкеплиш-
вили С.Т., Джалилов М.А., Рахимов А.З., Али-
мов В.П. Возможность применения наружной контр-
пульсации в комплексной терапии больных ИБС
с сердечной недостаточностью. Креативная кар-
диология. 2010; 2: 106–13.
About Authors
Kovalenko Oleg Aleksandrovich, Dr. Med. Sc., Leading Researcher; orcid.org/0000-0003-4485-3964If you found mistakes, select text and press Alt+A