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Abstracts |

Assisted Circulation by Counterpulsation.

D. E. Harken, M.D.; A. A. Lefemine, M.D.; T. Piemme, M.D.; D. K. Brief, M.D.; and S. Lunzer, M.D.
Ann Intern Med. 1963;58(4):714. doi:10.7326/0003-4819-58-4-714_1
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Counterpulsation permits aspiration of blood during the heart's systole and its return during diastole from a single cannula in the femoral artery. The physiologic effects on the time-tension index, coronary blood flow, myocardial oxygen consumption, shock and coronary artery collaterals will be reviewed. A critical analysis of laboratory and human clinical experience in shock and coronary occlusion will be presented.

A controlled series of alternating cases of patients entering the emergency ward in shock from myocardial infarction, unresponsive to therapy in an hour, with and without counterpulsation, will be discussed.

The relation of arterio-arterial counterpulsation to other types of circulatory


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