Brief ReportsPneumatic external counterpulsation: a new noninvasive method to improve organ perfusion
References (14)
External pressure circulatory assistanceno light on the shadow
Am J Cardiol
(1980)- et al.
Current status of external counterpulsation
Critical Care Clincis
(1986) - et al.
Three-year sustained benefit from enhanced external counterpulsation in chronic angina pectoris
Am J Cardiol
(1995) - et al.
Sequential external counterpulsation increases cerebral and renal blood flow
Am Heart J
(1997) - et al.
Intra-aortic balloon counterpulsation improves survival in cardiogenic shock complicating acute myocardial infarction
Eur Heart J
(1993) - et al.
Complications associated with percutaneous placement and use of intraaortic balloon counterpulsation
Am J Cardiol
(1993) - et al.
Assisted circulation by external pressure variation
J Cardiovasc Surg
(1969)
Cited by (66)
Hybrid cardiovascular simulator as a tool for physical reproduction of the conditions prevailing in the apex of the heart
2016, Biocybernetics and Biomedical EngineeringFeasibility and Safety of Using External Counterpulsation to Augment Cerebral Blood Flow in Acute Ischemic Stroke - The Counterpulsation to Upgrade Forward Flow in Stroke (CUFFS) Trial
2015, Journal of Stroke and Cerebrovascular DiseasesCitation Excerpt :The procedure has been approved for use in ischemic heart disease and congestive heart failure. It utilizes electrocardiogram-triggered inflations of cuffs to apply pressures ranging from 75 to 300 mmHg sequentially to the lower extremities and buttocks, inducing retrograde aortic blood flow and increased diastolic blood flow.2,3,8-10 ECP augmented mean flow velocity (MFV) on transcranial Doppler (TCD) in a study in 5 healthy human volunteers,11 and in another study—when used as a 14-week-long regimen of daily 1-hour treatments—was feasible, safe, and improved functional outcome in subacute ischemic stroke patients.12
Increasing pressure of external counterpulsation augments blood pressure but not cerebral blood flow velocity in ischemic stroke
2014, Journal of Clinical NeuroscienceCitation Excerpt :Diastolic pressure on the lower extremities improves venous return and cardiac output, while deflation before systole leads to increased systolic unloading. ECP has been demonstrated to improve the perfusion of vital organs through diastolic augmentation, including the brain, liver and kidneys [3]. The improvement of myocardial perfusion and promotion of coronary collaterals has been suggested to contribute to the clinical benefits of ECP in ischemic heart disease [4,5].
Enhanced external counterpulsation improves cerebral blood flow following cardiopulmonary resuscitation
2013, American Journal of Emergency MedicineCitation Excerpt :At the onset of systole, deflation of the cuff creates negative pressure from the peripheral arterial system that decreases cardiac afterload. The hemodynamic effects of EECP create an augmentation on flow volume in the carotid, renal, hepatic arteries and coronary arteries [3]. Left heart catheterization and coronary angiography have demonstrated that EECP causes a dramatic increase in diastolic and mean intracoronary pressures with an associated elevation in coronary flow [4].
Management of Patients With Refractory Angina: Canadian Cardiovascular Society/Canadian Pain Society Joint Guidelines
2012, Canadian Journal of Cardiology