Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device

Acute right heart failure is associated with impaired prognosis in cardiogenic shock. Since most pharmacological therapies are not evaluated for the failing right ventricle, or even contraindicated, there is a need for rapid minimal invasive circulatory right heart support. The PERKAT RV is such a d...

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Main Authors: Markus W. Ferrari, P. Christian Schulze, Daniel Kretzschmar
Format: Article
Language:English
Published: SAGE Publishing 2020-01-01
Series:Therapeutic Advances in Cardiovascular Disease
Online Access:https://doi.org/10.1177/1753944719895902
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author Markus W. Ferrari
P. Christian Schulze
Daniel Kretzschmar
author_facet Markus W. Ferrari
P. Christian Schulze
Daniel Kretzschmar
author_sort Markus W. Ferrari
collection DOAJ
description Acute right heart failure is associated with impaired prognosis in cardiogenic shock. Since most pharmacological therapies are not evaluated for the failing right ventricle, or even contraindicated, there is a need for rapid minimal invasive circulatory right heart support. The PERKAT RV is such a device for acute therapy in congestive heart failure. It reduces the central venous pooling by pumping blood from the inferior vena cava into the pulmonary artery with flow rates of up to 4 litres/min. The device was evaluated in an animal model of acute pulmonary embolism after careful in vitro tests. PERKAT RV increased cardiac output by 59% in sheep suffering from acute right heart failure. We await the first human implantation in the near future. Based on the PERKAT concept, future devolvement will also focus on left heart support.
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spelling doaj.art-696f08fa60b84b07982a4e4882d1c3722022-12-22T03:39:40ZengSAGE PublishingTherapeutic Advances in Cardiovascular Disease1753-94552020-01-011410.1177/1753944719895902Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support deviceMarkus W. FerrariP. Christian SchulzeDaniel KretzschmarAcute right heart failure is associated with impaired prognosis in cardiogenic shock. Since most pharmacological therapies are not evaluated for the failing right ventricle, or even contraindicated, there is a need for rapid minimal invasive circulatory right heart support. The PERKAT RV is such a device for acute therapy in congestive heart failure. It reduces the central venous pooling by pumping blood from the inferior vena cava into the pulmonary artery with flow rates of up to 4 litres/min. The device was evaluated in an animal model of acute pulmonary embolism after careful in vitro tests. PERKAT RV increased cardiac output by 59% in sheep suffering from acute right heart failure. We await the first human implantation in the near future. Based on the PERKAT concept, future devolvement will also focus on left heart support.https://doi.org/10.1177/1753944719895902
spellingShingle Markus W. Ferrari
P. Christian Schulze
Daniel Kretzschmar
Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
Therapeutic Advances in Cardiovascular Disease
title Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
title_full Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
title_fullStr Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
title_full_unstemmed Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
title_short Acute right heart failure: future perspective with the PERKAT RV pulsatile right ventricular support device
title_sort acute right heart failure future perspective with the perkat rv pulsatile right ventricular support device
url https://doi.org/10.1177/1753944719895902
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