Long-term mechanical circulatory support

被引:6
作者
ElBanayosy, A [1 ]
Minami, K [1 ]
Arusoglu, L [1 ]
Fey, O [1 ]
Kizner, L [1 ]
Hartmann, D [1 ]
Kortke, H [1 ]
Korner, MM [1 ]
Kleikamp, G [1 ]
Korfer, R [1 ]
机构
[1] RUHR UNIV BOCHUM,DEPT THORAC & CARDIOVASC SURG,HEART CTR N RHINE WESTPHALIA,BAD OEYNHAUSEN,GERMANY
关键词
heart-assist devices; heart transplantation; postcardiotomy cardiogenic shock;
D O I
10.1055/s-2007-1013703
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Against the background of an increasing number of patients waiting for heart transplantation but a stagnating number of transplant procedures, long-term mechanical circulatory support is gaining major importance. We investigated the outcome of 20 patients (15 men, and 5 women, aged between 15 and 66 years) each supported for more than 100 days between September 1987 and August 1996. The indications for implantation were bridging in 17 patients, myocarditis in 2 patients, and postcardiotomy cardiogenic shock in one patient. 12 patients received the Novacor LVAD, 4 patients the Thoratec system, 3 patients the HeartMate device and one patient both Novacor and Thoratec. Mean duration of support was 178.1 days. 15 patients were transplanted, 14 of them could be discharged. 2 patients died, 4 patients are still waiting. The most frequent complication was device-related infection in 11 patients. The results have shown that all three systems are safe and reliable devices for supporting patients for more than 100 days.
引用
收藏
页码:127 / 130
页数:4
相关论文
共 8 条
[1]   FIRST USE OF AN UNTETHERED, VENTED ELECTRIC LEFT-VENTRICULAR ASSIST DEVICE FOR LONG-TERM SUPPORT [J].
FRAZIER, OH .
CIRCULATION, 1994, 89 (06) :2908-2914
[2]   IMPROVED SURVIVAL AFTER EXTENDED BRIDGE TO CARDIAC TRANSPLANTATION [J].
FRAZIER, OH ;
MACRIS, MP ;
MYERS, TJ ;
DUNCAN, JM ;
RADOVANCEVIC, B ;
PARNIS, SM ;
COOLEY, DA .
ANNALS OF THORACIC SURGERY, 1994, 57 (06) :1416-1422
[3]   Results of extended bridge to transplantation: Window into the future of permanent ventricular assist devices [J].
Griffith, BP ;
Kormos, RL ;
Nastala, CJ ;
Winowich, S ;
Pristas, JM .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :396-398
[4]  
Hosenpud JD, 1996, J HEART LUNG TRANSPL, V15, P655
[5]   Mechanical circulatory support with the thoratec assist device in patients with postcardiotomy cardiogenic shock [J].
Korfer, R ;
ElBanayosy, A ;
Posival, H ;
Minami, K ;
Kizner, L ;
Arusoglu, L ;
Korner, MM .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :314-316
[6]   MECHANICAL CIRCULATORY SUPPORT - THE BAD OEYNHAUSEN EXPERIENCE [J].
KORFER, R ;
ELBANAYOSY, A ;
POSIVAL, H ;
MINAMI, K ;
KORNER, MM ;
ARUSOGLU, L ;
BREYMANN, T ;
KIZNER, L ;
SEIFERT, D ;
KORTKE, H ;
FEY, O .
ANNALS OF THORACIC SURGERY, 1995, 59 (02) :S56-S63
[7]   CHRONIC MECHANICAL CIRCULATORY SUPPORT - REHABILITATION, LOW MORBIDITY, AND SUPERIOR SURVIVAL [J].
KORMOS, RL ;
MURALI, S ;
DEW, MA ;
ARMITAGE, JM ;
HARDESTY, RL ;
BOROVETZ, HS ;
GRIFFITH, BP .
ANNALS OF THORACIC SURGERY, 1994, 57 (01) :51-58
[8]  
MYERS TJ, 1994, ASAIO J, V40, P471