- Emergency
- Coronary heart disease.
- Symptoms.
- Risk factors.
- Complications of CHD and myocardial infarction.
- Necessary investigation methods (diagnosis).
- Treatment of coronary heart disease
- Coronary bypass surgery.
- Treatment of complications of myocardial infarction.
- Mechanical circulation support systems (assist devices)
- Short-term assist devices.
- Medium-term pulsatile uni- and biventricular assist devices.
- Berlin Heart Excor and Medos System.
- Jarvik 2000.
- Intra-aortic balloon pump (IABP).
- Assist device implantation figures.
- Valvular heart disease.
- Diseases of the thoracic vessels.
- Arrhythmias.
- Transplantation.
Short-term assist devices (Bio-Pump, Zentrimag and Abiomed)
As an extracorporeal short-term assist device for up to a week, our clinic uses the Medtronic Biomedicus Bio-Pump, a member of the radial or centrifugal pump subgroup, which has been employed clinically for 20 years, with a flow of up to 6 litres/minute. Although this system can be used extracorporeally as a left and right heart assist device, as shown in Fig. 9, it is used mainly after heart and/or lung failure in adults and children, on the right mainly as an ECMO device (extracorporeal membrane oxygenation). Recently, the Levitronix Zentrimag centrifugal pump has also been employed, a miniature form of rotor pump with a very small motor console used as an isolated right heart assist device.
Fig.: The Bio-Pump is employed with an oxygenator mainly for extracorporeal membrane oxygenation (ECMO, bottom right), i.e. for bridging of heart and lung function until the organs recover.