A reliable bridge to cardiac transplantation: The TCI left ventricular assist device

Burton, Nelson A.; Lefrak, Edward A.; Macmanus, Quentin; Hill, Aaron; Marino, Joseph A.; Speir, Alan M.; Akl, Bechara F.; Albus, Robert A.; Massimiano, Paul S.

doi:10.1016/0003-4975(93)91083-y

Cited by 32 publications

(7 citation statements)

References 15 publications

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“…Infections associated with LVAD carry significant rates of morbidity and mortality, which range from 15% to 50% (1–7). LVAD‐associated infections appear on average 65 days post‐operatively (8).…”

Section: Discussionmentioning

confidence: 99%

The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

Echo¹,

Kelley²,

Bullocks³

et al. 2011

Pediatric Transplantation

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The HeartMate II LVAD has provided a bridge to heart transplantation or a permanent fixture for destination therapy for patients with heart failure. LVAD infections are associated with significant morbidity even when treated with explantation, device exchange, or a salvage procedure. We present an unusual complication following the placement of the HeartMate II device in an adolescent, whereby a pocket infection resulted in a large soft tissue defect overlying and surrounding the device. The novel use of a VRAM flap was successfully used to repair the defect and salvage the device.

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Section: Discussionmentioning

confidence: 99%

The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

Echo¹,

Kelley²,

Bullocks³

et al. 2011

Pediatric Transplantation

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“…This surface promotes lining of the device with the patient's own blood products to minimize clot formation. [29] This VAD is positioned intra-abdominally in the left upper quadrant of the abdomen or preperitoneal [30,31] without entering the abdomen. The inlet Dacron conduit is anastomosed to the apex of the left ventricle and the outlet conduit goes to the aorta.…”

Section: Heartmate Imentioning

confidence: 99%

Adult cardiac transplantation: A review of perioperative management (Part - II)

Ramakrishna¹,

Jaroszewski²,

Arabia³

2009

Ann Card Anaesth

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“…Für das HeartMate LVAD wird aufgrund seiner Oberflächenbeschaffenheit nur eine Thrombozytenaggregationshemmung [2] empfohlen. Für das HeartMate LVAD wird aufgrund seiner Oberflächenbeschaffenheit nur eine Thrombozytenaggregationshemmung [2] empfohlen.…”

Section: Ergebnisse Von Mechanischer Kreislaufunterstützungunclassified

“…Trotz dieser Probleme werden linksventrikuläre Unterstützungssysteme heutzutage sehr erfolgreich im Hinblick auf Lebensqualität und Überleben als Überbrückung bis zur Herztransplantation genutzt [2,19,29,37,44,52]. Aufgrund der vorliegenden Daten und der langen Wartezeiten zur Transplantation scheint eine breitere Indikations- …”

Section: Ergebnisse Von Mechanischer Kreislaufunterstützungunclassified

Mechanische myokardiale Unterstützungssysteme 1997Eine Übersicht von der intraaortalen Ballongegenpulsation bis zu den implantierbaren linksventrikulären Unterstützungssystemen

et al. 1997

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The development of cardiopulmonary bypass (CPB) to support the systemic circulation during cardiac surgical procedures became a clinical reality in 1953. Although the use of CPB for the treatment of post-infarction cardiogenic shock met with little success, intra-aortic balloon counterpulsation was used successfully in 1968 to reduce ischaemic injury in a patient with cardiogenic shock. Today, a broad spectrum of circulatory assist devices for short- and long-term application is available. Three major indication groups for the use of support devices are established. In low-cardiac-output syndrome after cardiac surgical procedures, short-term devices are utilised to enable myocardial recovery. In transplantation candidates suffering from drug-resistant pump failure, the implantation of long-term devices as a bridge to heart transplantation is indicated, and in NYHA class IV patients with contraindications to heart transplantation, the implantation of long-term devices as an alternative to transplantation is under discussion. In the literature, post-cardiotomy support survival is less than 30% on average. About 70% of mechanically bridged patients have survived to undergo heart transplantation and were transplanted with over 90% survival. Major problems during mechanical support are infection, bleeding, and thromboembolism. In view of patients' natural course without support, these clinical results are favourable.

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A reliable bridge to cardiac transplantation: The TCI left ventricular assist device

Cited by 32 publications

References 15 publications

The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

Adult cardiac transplantation: A review of perioperative management (Part - II)

Mechanische myokardiale Unterstützungssysteme 1997Eine Übersicht von der intraaortalen Ballongegenpulsation bis zu den implantierbaren linksventrikulären Unterstützungssystemen

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