Experience with right ventricular assist devices for perioperative right-sided circulatory failure

Chen, Jonathan M.; Levin, Howard R.; Rose, Eric A.; Addonizio, Linda J.; Landry, Donald W.; Sistino, Joseph J.; Michler, Robert E.; Öz, Mehmet C.

doi:10.1016/0003-4975(95)01010-6

Cited by 114 publications

(83 citation statements)

References 5 publications

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“…This complication has increased with both the expansion of the donor pool to include marginal donors and the increasing use of LVADs as a bridge to transplantation, unveiling a growing incidence of associated perioperative RV failure [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation

Haneya

Philipp

Puehler

et al. 2011

European Journal of Cardio-Thoracic Surgery

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OBJECTIVE: Acute right ventricular (RV) failure is a life-threatening condition with a poor prognosis, and sometimes the use of mechanical circulatory support is inevitable. In this article, we describe our experience using a centrifugal pump as a temporary percutaneous right ventricular assist device (RVAD) in patients with postoperative acute refractory RV failure after left ventricular assist device (LVAD) implantation. METHODS:We retrospectively reviewed eight consecutive patients with acute RV failure who underwent temporary percutaneous RVAD implantation using a centrifugal pump after LVAD implantation between April 2008 and February 2011. A Dacron graft was attached to the main pulmonary artery and passed through a subxiphoid exit, where the outflow cannula was inserted. The inflow cannula was percutaneously cannulated using Seldinger's technique in the femoral vein. The chest was definitely closed. The technique allowed bedside removal, avoiding chest re-opening. RESULTS:The median patient age was 52 years (range: 41-58). The median duration of support was 14 days (range: 12-14). RV systolic function improved; central venous pressure and mean pulmonary artery pressure decreased significantly after RVAD support. In three patients, an oxygenator was integrated into the RVAD due to impaired pulmonary function. Six patients were successfully weaned. Five patients survived to hospital discharge. Technical problems or serious complications concerning decannulation were not observed. CONCLUSION:This report suggests that implantation of temporary percutaneous RVAD using a centrifugal pump is a safe alternative in the treatment of postoperative acute refractory RV failure. Ease of device implantation, weaning, explantation, and limited number of complications justify a liberal use.

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Section: Introductionmentioning

confidence: 99%

Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation

Haneya

Philipp

Puehler

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…One of the main complications of the implantation of left ventricular assist devices (LVAD) alone is the circulatory dysfunction of the right ventricle (RV), which has an incidence varying between 13% and 44% [1,3,4]. Although controversial, most authors report that the institution of biventricular assistance should be performed as early as possible if the RV failure is hemodynamically important [4,5].…”

Section: Introductionmentioning

confidence: 99%

Cavo-pulmonary anastomosis associated with left ventricular in comparison with biventricular circulatory support in acute heart failure

Santos¹,

Benício²,

Júnior³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…The right heart bypass has been mostly used rather as a circulatory support in cases of postoperative right ventricular failure than as an auxiliary to the surgical procedure. Several indications have been described regarding the right heart bypass, such as heart transplantations, correction of congenital heart diseases, mitral valve surgery with pulmonary arterial hypertension, and coronary artery diseases [8][9][10][11][12][13]. Its use has been perfectly standardized.…”

Section: Discussionmentioning

confidence: 99%

“…In the past few years, with the advent of minimally invasive cardiac surgery [5][6][7], as well as the increase in circulatory support indications in postoperative heart transplantation or high complexity surgeries that present left/right ventricular failure [8][9][10][11][12][13], a number of cannula models have been developed and assessed in order to find more adequate cannulae [14][15][16], including those for percutaneous usage [17].…”

Section: Introductionmentioning

confidence: 99%

Abordagem da valva do tronco pulmonar por desvio direito e uso de cânula bicaval: estudo experimental

Silva¹,

Dallan

Campagnucci

et al. 2007

Rev Bras Cir Cardiovasc

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Abordagem da valva do tronco pulmonar por desvio direito e uso de cânula bicaval: estudo experimental Approach of the pulmonary valve using right heart bypass and bicaval cannula: experimental study Abstract Objective: To reproduce the surgery for correction of pulmonary valve anomalies using right heart bypass and a new bicaval cuffed venous cannula for minimal access surgery.Methods: Fifteen Large-White pigs were used for this study. The standard technique model was established with the first five pigs, the experiment was done with nine animals by sternotomy, and one was submitted to a minimally invasive procedure, but has been excluded of the sample. Bicaval drainage by a single cannula was obtained through the internal jugular vein. The cuffs were inflated to increase blood flow to the machine.

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Experience with right ventricular assist devices for perioperative right-sided circulatory failure

Cited by 114 publications

References 5 publications

Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation

Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation

Cavo-pulmonary anastomosis associated with left ventricular in comparison with biventricular circulatory support in acute heart failure

Abordagem da valva do tronco pulmonar por desvio direito e uso de cânula bicaval: estudo experimental

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