the broken heart by pete mccanny
Post on 16-Apr-2017
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THE BROKEN HEART
Dr Peter McCanny
Cardiogenic Shock
Valvular pathologies
Acute MI (80%)
Decompensated heart failure
Acute myocarditis
Congenital Heart diseases
Septic cardiomyopathy
Post- cardiotomy
Primary graft failure
CARDIOGENIC SHOCK IS A SPECTRUM
MECHANICAL CIRCULATORY SUPPORT
AXIAL PUMP
‘Propeller in pipe’
Impella 2.5 and 5
CENTRIFUGAL PUMP
Electromagnetic force
Rotational kinetichydrodynamic
ECMO
SURGICAL
LVAD
Pneumatic Axial flow CentrifugalCentrifugal
MCSMechanisms
LV pressure unloading (IABP)
LV volume unloading(Impella,
Tandemheart)
Bivent support (device combo)
Bivent support (ECMO)
IABP-SHOCK 2
IMPELLA
IMPRESS
RECOVER-2
ISAR- SHOCK
JUST PUT THEM ON ECMO!
PERIPHERAL VA ECMO
HEART AND LUNG SUPPORT
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