Mechanical ventricular assistance

2004 ◽  
pp. 387-394
Author(s):  
Rohinton Morris
Keyword(s):  
Ventricular Assistance

Impact of ventricular assistance devices on patients submitted to heart transplantation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Perez-Ortega ◽  
J Prats ◽  
E Querol
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Cardiopulmonary Resuscitation ◽  
Heart Transplant ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Extracorporeal Cardiopulmonary Resuscitation ◽  
Terminal Heart Failure ◽  
One Year ◽  
Ventricular Assistance

Abstract Background The introduction of veno-arterial extracorporeal life support (v-a ECLS) widens the spectrum of patients that can be included in the heart transplant program, some examples are extended myocardial infarction, fulminant myocarditis or advanced cardiac insufficiency. In addition to this, the implementation of extracorporeal cardiopulmonary resuscitation (ECPR) extends even more the range of patients that can be benefitted of this therapy as a bridge to transplant. Purpose Our objective is to describe the incidence of v-a ECLS in those patients submitted to a heart transplant and to establish whether or not this technique increases the risk of mortality in this population. Methods Retrospective and descriptive statistical analysis of 82 consecutive patients submitted to heart transplant between 2015 and 2019 in a High Technology University Hospital. Demographic and clinical data, extracorporeal life support, extracorporeal cardiopulmonary resuscitation and assistance device type, together with survival at 30 days and one year were collected. Results 82 patients were transplanted during the study period distributed as follows: 47 (51.69%) were elective and 35 (48.1%) emergent being 25 (30.12%) of grade 1A and 10 (12.19%) of grade 1B. 52% had prior intra-aortic balloon contrapulsation. Patients transplanted under ECLS were 80% men and average age of 53 (SD 15) years old. The most prevalent diagnosis was acute myocardial infarction Killip IV (32%), followed by terminal heart failure (28%). 32% of the patients were under peripheral ECMO, 36% under left ventricular assistance, 20% under biventricular assist device, and 12% required ECPR. 72% of devices were implanted in the operating room and 16% in the ICU. The one-year survival of the sample was 88%. 2 patients died after transplantation (8%) during the first month, and 1 patient died within the first year. All three patients had terminal heart failure and the VAD implant was inserted electively Conclusions ECLS prior to cardiac transplantation allow selected patients to arrive alive to the transplant. The choice among devices is related to the diagnosis and expected duration of the therapy but we have not found in our series effects on subsequent mortality. Survival at one year in the subjects analysed is greater than the national registry of the last 10 years, although the tendency is to improve every year. This new scenario implies an increment of the complexity in the management of these patients and requires an special effort in terms of staff ratio and training. In our centre, the implementation of ECLS resulted in an increment of our staff and formative sessions. Funding Acknowledgement Type of funding source: None

The Feasibility and Efficacy of Right Ventricular Assistance without Thoracotomy

ASAIO Journal ◽  
1993 ◽  
Vol 39 (2) ◽  
pp. 120-125
Author(s):  
Mitsuhiro Yano ◽  
Keiichiro Matsuo ◽  
Toshihiko Hatane ◽  
Kenji Araki ◽  
Toshio Onitsuka ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Assistance

Ventricular Assistance Devices as Bridge to Transplantation

2014 ◽  
Vol 10 (1) ◽  
pp. S39-S45
Author(s):  
Mario Gaudino ◽  
Piero Farina ◽  
Sonia Bernazzali ◽  
Piergiorgio Bruno ◽  
Christian Colizzi ◽  
...  
Keyword(s):  
Bridge To Transplantation ◽  
Ventricular Assistance

Recovery of Pulmonary Function in Patients Undergoing Extended Left Ventricular Assistance

CHEST Journal ◽  
1992 ◽  
Vol 102 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Robert T. Baldwin ◽  
J. Michael Duncan ◽  
Branislav Radovancevic ◽  
O.H Frazier ◽  
Nancy L. Abou-Awdi
Keyword(s):  
Pulmonary Function ◽  
Left Ventricular ◽  
Ventricular Assistance ◽  
Left Ventricular Assistance

scholarly journals Use of a percutaneous transvalvar axial pump for left ventricular assistance during high risk angioplasty

1996 ◽  
Vol 27 (2) ◽  
pp. 337 ◽  
Author(s):  
Philip Urban ◽  
Pascal Chatelain ◽  
Jean Pierre Killsch ◽  
Emmanuel Morandini ◽  
Vitali Verine ◽  
...  
Keyword(s):  
High Risk ◽  
Left Ventricular ◽  
Axial Pump ◽  
Ventricular Assistance ◽  
Left Ventricular Assistance

Peripartum cardiomyopathy, place of drug therapy, assist devices, and outcome after left ventricular assistance

2017 ◽  
Vol 37 ◽  
pp. 185-188
Author(s):  
Righab Hamdan ◽  
Pierre Nassar ◽  
Ali Zein ◽  
Mohamad Issa ◽  
Hassan Mansour ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Left Ventricular ◽  
Peripartum Cardiomyopathy ◽  
Assist Devices ◽  
Ventricular Assistance ◽  
Left Ventricular Assistance
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