Morbidity and outcome after mechanical ventricular support using thoratec, novacor, and HeartMate for bridging to heart transplantation

被引:49
作者
Minami, K [1 ]
El-Banayosy, A [1 ]
Sezai, A [1 ]
Arusoglu, L [1 ]
Sarnowsky, P [1 ]
Fey, O [1 ]
Koerfer, R [1 ]
机构
[1] Ruhr Univ Bochum, Heart Ctr N Rhine Westphalia Bad Oeynhausen, Dept Thorac & Cardiovasc Surg, D-4630 Bochum, Germany
关键词
mechanical ventricular support; bridging to transplantation; Thoratec; Novacor; HeartMate; ventricular assist device;
D O I
10.1046/j.1525-1594.2000.06621.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Between September 1989 and June 1999, 228 patients were supported with a ventricular assist device as a bridge to heart transplantation. In this study, the results of implantation were evaluated in patients supported with one type of device, including 85 supported with a Thoratec, 61 with a Novacor, and 37 with a HeartMate. The mean support time was 49, 148, and 124 days, respectively. Successful transplantation and weaning rates were 64.7% with Thoratec, 59.0% with Novacor, and 62.0% with HeartMate. Cerebral embolism and drive-line and pocket infection were major causes of postoperative morbidity and mortality. We recommended that a Thoratec system be employed as a bridge to heart transplantation for patients with biventricular heart failure, and that a Novacor or HeartMate system be implanted in patients requiring a long-term circulatory support.
引用
收藏
页码:421 / 426
页数:6
相关论文
共 22 条
[1]   A fatal mechanical disorder of the TCI HeartMate left ventricular assist system [J].
Bonkohara, Y ;
Minami, K ;
Arusoglu, L ;
El-Banayosy, A ;
Fey, O ;
Sarnowski, P ;
Körfer, R .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 118 (04) :769-770
[2]   Implantable left ventricular assist devices provide an excellent outpatient bridge to transplantation and recovery [J].
DeRose, JJ ;
Umana, JP ;
Argenziano, M ;
Catanese, KA ;
Gardocki, MT ;
Flannery, M ;
Levin, HR ;
Sun, BC ;
Rose, EA ;
Oz, MC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (07) :1773-1777
[3]   Long-term mechanical circulatory support [J].
ElBanayosy, A ;
Minami, K ;
Arusoglu, L ;
Fey, O ;
Kizner, L ;
Hartmann, D ;
Kortke, H ;
Korner, MM ;
Kleikamp, G ;
Korfer, R .
THORACIC AND CARDIOVASCULAR SURGEON, 1997, 45 (03) :127-130
[4]   Results after partial left ventriculectomy versus heart transplantation for idiopathic cardiomyopathy [J].
Etoch, SW ;
Koenig, SC ;
Laureano, MA ;
Cerrito, P ;
Gray, LA ;
Dowling, RD .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 117 (05) :952-958
[5]  
Fey O, 1997, EUR J CARDIO-THORAC, V11, pS51
[6]   MULTICENTER CLINICAL-EVALUATION OF THE HEARTMATE 1000-IP LEFT-VENTRICULAR ASSIST DEVICE [J].
FRAZIER, OH ;
ROSE, EA ;
MACMANUS, Q ;
BURTON, NA ;
LEFRAK, EA ;
POIRIER, VL ;
DASSE, KA .
ANNALS OF THORACIC SURGERY, 1992, 53 (06) :1080-1090
[7]   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
[8]  
Hermann M, 1997, CIRCULATION, V95, P814
[9]   The Registry of the International Society for Heart and Lung Transplantation: Sixteenth Official Report - 1999 [J].
Hosenpud, JD ;
Bennett, LE ;
Keck, BM ;
Fiol, B ;
Boucek, MM ;
Novick, RJ .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 1999, 18 (07) :611-626
[10]   Mechanical circulatory support and cardiac transplantation [J].
Hunt, SA ;
Frazier, OH ;
Myers, TJ .
CIRCULATION, 1998, 97 (20) :2079-2090