2024-03-29T12:39:36Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00022638
2023-11-17T00:59:10Z
499:508:509:1887
Clinical and Experimental Experiences on Assisted Circulation with Special Reference to Its Indications and Optimal Flow Rate
AKUNE, JUN
ODA, HIROSHI
TOKUNAGA, SATORU
KUNO, TAKASHI
KOIDE, AKIHIKO
HIROSE, SHIGERU
KITAMURA, TAKAO
YAMAMURA, NORIHIRO
NAGAI, RYOZI
open access
1)The different modes of assisted or controlled circulation have been considered for an intractable cardiac failure. The authors advocated the following classification that may be useful for the hemodynamic study of assisted circulation.\
A) The partial bypass technique:\
(1) veno-arteiral pumping,\
(2) right ventricular partial bypass,\
(3) left ventricular partial bypass, and\
(4) partial cardiopulmonary bypass.\
B) The total bypass technique:\
(1) right ventricular total bypass,\
(2) left ventricular total bypass,\
(3) synchronized arterial counterpulsation, and\
(4) total cardiopulmonary bypass.\
2) Indication for various types of assisted circulation were discussed on the basis of the clinical and experimental experiences.\
3) The authors proposed the concept of an optimal flow rate of assisted circulation employing partial bypass technique. The maximum efficacy of assisted circulation may be obtained by perfusing at the optimal flow rate, while the serious com- plications caused by perfusing at an unnecessarily high flow rate are avoided.
Nagoya University School of Medicine
1965-12
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.28.1.27
http://hdl.handle.net/2237/24800
https://nagoya.repo.nii.ac.jp/records/22638
10.18999/nagjms.28.1.27
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/281/281.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
28
1
27
33
https://nagoya.repo.nii.ac.jp/record/22638/files/v28n1p27_33.pdf
application/pdf
786.8 kB
2018-02-22