Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Bridge to recovery for postcardiotomy failure: Is there still a role for centrifugal pumps?
Autore:
Hoy, FBY; Mueller, DK; Geiss, DM; Munns, JR; Bond, LM; Linett, CE; Gomez, RC;
Indirizzi:
OSF, St Francis Med Ctr, Div Cardiovasc & Thorac Surg, Peoria, IL USA OSFPeoria IL USA Med Ctr, Div Cardiovasc & Thorac Surg, Peoria, IL USA OSF, St Francis Med Ctr, Downstate Heart Transplant Ctr, Peoria, IL USA OSF Peoria IL USA ed Ctr, Downstate Heart Transplant Ctr, Peoria, IL USA
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 4, volume: 70, anno: 2000,
pagine: 1259 - 1263
SICI:
0003-4975(200010)70:4<1259:BTRFPF>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
VENTRICULAR ASSIST DEVICE; MECHANICAL CIRCULATORY SUPPORT; CARDIOGENIC-SHOCK; REGISTRY EXPERIENCE; HEMOPUMP;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Hoy, FBY Illinois Cardiac Surg Associates, 515 NE Glen Oak,Suite 202, Peoria, IL 61603 USA Illinois Cardiac Surg Associates 515 NE Glen Oak,Suite 202Peoria IL USA 61603
Citazione:
F.B.Y. Hoy et al., "Bridge to recovery for postcardiotomy failure: Is there still a role for centrifugal pumps?", ANN THORAC, 70(4), 2000, pp. 1259-1263

Abstract

Background. Early implantation of centrifugal devices in patients with postcardiotomy cardiogenic shock may provide a bridge to recovery and allow subsequent long-term survival. Methods. Since January 1989, 62 patients were supported with centrifugal pumps because of failure to wean from cardiopulmonary bypass. Indications were postcardiotomy cardiogenic shock (PCCS) (n = 60), bridge to cardiac retransplantation (n = 1), and right ventricular failure (n = 1). Patients' ages ranged from 23 to 78 years; 40 were men (65%), and 22 were women (35%). Twenty-two patients (35%) had a left ventricular assist device; 9 patients (15%) had a right ventricular assist device; and 31 patients (50%) had a biventricular assist device. Length of support ranged from 1 day to 19 days. Results. Forty-two patients (68%) were weaned successfully; 27 patients survived to discharge (44%). Complications included bleeding (n = 41, 66%), renal failure (n = 28, 45%), and respiratory failure (n = 26, 42%). Currently, 23 patients survived 10 or more years (n = 1), 6 to 10 years (n = 7), 1 to 5 years (n = 10), and less than 1 year (n = 5). Conclusions. Centrifugal pumps are available, easy to use, and relatively inexpensive. Our experience justifies their continued use as a bridge to recovery for patients with postcardiotomy cardiogenic shock, despite the availability and increasing use of more expensive devices. (C) 2000 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:51:12