Show Summary Details
Page of

Counterpulsation Circulatory Assist Devices 

Counterpulsation Circulatory Assist Devices
Chapter:
Counterpulsation Circulatory Assist Devices
Author(s):

Reza Salabat

and Valluvan Jeevanandam

DOI:
10.1093/med/9780190909291.003.0017
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 28 May 2020

An increasing number of patients with heart failure need advanced therapy. Heart transplantation remains the definitive long-term treatment, but its use is limited by the low number of donor hearts. This limitation has led to the development of mechanical circulatory support devices that assist cardiac function by direct blood pumping (e.g. ventricular assist devices) and counterpulsation (e.g. the intra-aortic balloon pump). Ventricular assist devices provide long-term treatment for heart failure but are associated with potentially severe complications, such as driveline infection, stroke, and gastrointestinal bleeding. Counterpulsation improves cardiac function by augmenting diastole and reducing afterload, which increases coronary perfusion and decreases cardiac workload. Since the concept was introduced in 1960s, several devices have been used in humans. The intra-aortic balloon pump, a counterpulsation device, is the most commonly used device for short-term support as a bridge to transplant or recovery. A minimally invasive counterpulsation device, such as an intravascular ventricular assist system that allows ambulation, could potentially offer versatile solutions for long-term heart failure therapy or as a bridge to transplant or to recovery. The intravascular ventricular assist system has fewer complications and avoids the need for sternotomy or thoracotomy.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.