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Titolo:
Mechanical bridge with extracorporeal membrane oxygenation and ventricularassist device to heart transplantation
Autore:
Wang, SS; Ko, WJ; Chen, YS; Hsu, RB; Chou, NK; Chu, SH;
Indirizzi:
Natl Taiwan Univ Hosp, Dept Surg, Taipei, Taiwan Natl Taiwan Univ Hosp Taipei Taiwan niv Hosp, Dept Surg, Taipei, Taiwan
Titolo Testata:
ARTIFICIAL ORGANS
fascicolo: 8, volume: 25, anno: 2001,
pagine: 599 - 602
SICI:
0160-564X(200108)25:8<599:MBWEMO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPERIENCE; THORATEC; SUPPORT;
Keywords:
extracorporeal membrane oxygenation; ventricular assist device; assisted circulation; mechanical circulatory support; cardiogenic shock;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Wang, SS Natl Taiwan Univ Hosp, Dept Surg, 7Chung Shan S Rd, Taipei, Taiwan Natl Taiwan Univ Hosp 7Chung Shan S Rd Taipei Taiwan ei, Taiwan
Citazione:
S.S. Wang et al., "Mechanical bridge with extracorporeal membrane oxygenation and ventricularassist device to heart transplantation", ARTIF ORGAN, 25(8), 2001, pp. 599-602

Abstract

The aim of this study was to evaluate the effect of double bridges with extracorporeal membrane oxygenation (ECMO) and ventricular assist devices (VADs) in clinical heart transplantation. Between May 1994 and October 2000, 134 patients underwent heart transplantation at the National Taiwan University Hospital. Ten patients received ECMO or VAD support as bridges to transplantation. The ages ranged from 3 to 63 years. The indications included cardiac arrest under cardiopulmonary resuscitation in 2 and profound cardiogenic shock refractory to conventional therapy in 8 patients. Usually ECMO wasfirst set up as rescue therapy. If ECMO could not be weaned off after short-term (usually 1 week) support, suitable VADs (HeartMate or Thoratec VAD) were implanted for medium-term or long-term support. Five patients receivedECMO support as emergency rescue for 2 to 9 days, and then moved to Thoratec VAD for 8, 49, and 55 days, respectively, or centrifugal VAD for 31 days, or HeartMate VAD for 224 days. They all survived. The survival rate of double bridges with ECMO and VAD was 100%. In postcardiotomy cardiogenic shock, circulatory collapse from acute myocardial infarction or myocarditis, ECMO is the device of choice for short-term support. If heart transplantationis indicated, VADs should replace ECMO for their superiority as a bridge to heart transplantation. Our preliminary data of double bridges with ECMO and VAD revealed good results and were reliable and effective bridges to transplantation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:09:58