Use of intra-aortic counterpulsation in cardiogenic shock post-liver transplantation

作者：Palanisamy Arun P^*; Nadig Satish N; Chedister Gabriel R; Dowden Jacob E; Koch David G; Stoll William D; McGillicuddy John W; Chavin Kenneth D

来源：Clinical Transplantation, 2017, 31(7): e13002.

DOI：10.1111/ctr.13002

• emergency
• hemodynamic instability
• liver disease
• surgery
• ventricular dysfunction

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.

• 出版日期2017-7