1ST CLINICAL IMPLANTATION OF THE BCM 3.5 VENTRICULAR ASSIST DEVICE (VAD)

被引:8
作者
DUARTE, J
FERNANDEZCALEYA, D
ALVAREZVALDIVIELSO, JM
ROMERO, C
DESCO, MM
CANO, M
RODRIGUEZ, F
RUBIO, MA
ANTORANZ, JC
DELCANIZO, JF
机构
[1] HOSP PRINCESA,INTENS CARE UNIT,E-28006 MADRID,SPAIN
[2] HOSP G GREGORIO MARANON,DEPT ANAESTESIOL & REANIMAT,MADRID,SPAIN
[3] HOSP G GREGORIO MARANON,DIV EXPTL SURG & MED,MADRID,SPAIN
[4] BIOMED SA,MADRID,SPAIN
[5] UNIV NACL EDUC DISTANCIA,DEPT BASIC PHYS,MADRID,SPAIN
关键词
HEART ASSIST DEVICE; ARTIFICIAL HEART; ASSISTED CIRCULATION;
D O I
10.1016/1010-7940(91)90083-V
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report on the first human implantation of the BCM 3.5(1) ventricular assist device in a 46-year-old man suffering from terminal stage cardiomyopathy. The circulatory support was used as a bridge to heart transplantation. The patient was in cardiogenic shock and was on assisted circulation for 18 days after which he underwent cardiac transplantation. While receiving support from the ventricular assist device, the patient's condition improved remarkably and 50 days after transplantation he was discharged from hospital. We give a detailed description of the surgical technique, with special emphasis on the procedures for air extraction. We describe the evolution of the hemodynamic status before and after implantation. Final inspection of the device and cannulae after removal showed no thrombi and only small fibrin deposits in the membrane-wall junction.
引用
收藏
页码:46 / 50
页数:5
相关论文
共 9 条
[1]  
Antoranz J.C., Rubio M.A., Duarte J., Femandez-Caleya D., Desco M.M., Cano M., Garcia-Barreno P., Alvarez-Valdivielso J.M., Del Canizo J.M., Improvement of the hydrodynamic response of a ventricular assist device (VAD): A false auricle solution, Artif Organs
[2]  
Ban T., Fukumasu H., Soneda J., Iways F., Hoshino S., Yuasa S., Clinical applications of left ventricular assist devices, J Cardiac Surg, 2, pp. 21-30, (1987)
[3]  
Biomed S.A., C/Beatriz
[4]  
Icenogle T.B., Smith R.G., Cleavinger M., Vasu M.A., Williams R.J., Sethi G.K., Copeland J.G., Thromboembolic complications of the Symbion AVAD system, Artif Organs, 13, pp. 532-538, (1989)
[5]  
Levinson M.M., Copeland J.G., Technical aspects of total artificial heart implantation for temporary applications, J Card Surg, 2, pp. 3-19, (1987)
[6]  
Pae W.E., Pierce W.S., Combined registry for the clinical use of mechanical ventricular assist pumps and the total artificial heart: Second official report 1987, J Heart Transplant, 8, pp. 1-4, (1989)
[7]  
Pae W.E., Temporary ventricular support. Current indications and results, Trans am Soc Artif Intern Organs, 33, pp. 4-7, (1987)
[8]  
Pennington D.G., Kan Ter K.R., McBride L.R., Kaiser G.C., Barner H.B., Miller L.W., Naunheim K.S., Fiore A.C., Willman V., Seven years’ experience with the Pierce-Donahey ventricular assist device, J Thorac Cardiovasc Surg, 96, (1988)
[9]  
Pennington D.G., Kan Ter K.R., McBride L.R., Kaiser G.C., Barner H.B., Miller L.W., Naunheim K.S., Fiore A.C., Willman V.