Use of intra‐aortic counterpulsation in cardiogenic shock post‐liver transplantation. Issue 7 (5th June 2017)

• Record Type: Journal Article
• Authors: Palanisamy, Arun P; Nadig, Satish N; Chedister, Gabriel R; Dowden, Jacob E; Koch, David G; Stoll, William D; McGillicuddy, John W; Chavin, Kenneth D
• Is Part Of: Clinical transplantation. Volume 31:Issue 7(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-06-05
• Subjects: emergency -- hemodynamic instability -- liver disease -- surgery -- ventricular dysfunction; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ctr.13002
• Languages: English
• ISSNs: 0902-0063

Abstract

Abstract: Left ventricular dysfunction resulting in cardiogenic shock occurs infrequently following organ reperfusion in liver transplantation. The etiology of the cardiogenic shock is often multifactorial and difficult to manage due to the complex nature of the procedure and the patient's baseline physiology. Traditionally, this hemodynamic instability is managed medically using inotropic agents and vasopressor support. If medical treatment is insufficient, the use of an intra‐aortic balloon pump for counterpulsation may be employed to improve the hemodynamics and stabilize the patient. Here, we analyze three cases and review the literature.