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[Assisted circulation by external heterotopic prosthesis as a bridge to heart transplantation].
[Assisted circulation by external heterotopic prosthesis as a bridge to heart transplantation].
- Source :
-
Archives des maladies du coeur et des vaisseaux [Arch Mal Coeur Vaiss] 1990 Sep; Vol. 83 (10), pp. 1571-7. - Publication Year :
- 1990
-
Abstract
- Eleven patients aged 7 to 58 years were placed on assisted circulation with Pierce (2 cases) or Abiomed (9 cases) external prosthetic ventricles as a bridge to cardiac transplantation. The indications were terminal cardiac failure following cardiomyopathy (7 cases), decompensated ischemic heart disease (3 cases) and subacute post-transplantation rejection (1 case). The duration of the assisted circulation ranged from 24 hours to 11 days. All patients were transplanted but 3 died after transplantation (27%). The circulatory assistance was satisfactory in all patients as shown by the regression of clinical signs of low cardiac output and the normalisation of diuresis. The complications observed during assisted circulation and after cardiac transplantation were: haemorrhage (36%), infection (27%) and thromboembolism (9%). These preliminary results with a 72% post-transplantation survival rate, show that both systems are effective "bridges to cardiac transplantation". The Abiomen device is excellent value for money and relatively simple to install and represents a good compromise between the sophisticated techniques of circulatory assistance and the problems of the cost of health care.
- Subjects :
- Adolescent
Adult
Child
Creatinine blood
Diuresis
Fibrinogen analysis
Graft Rejection
Heart Diseases therapy
Heart-Assist Devices
Hemodynamics
Humans
Middle Aged
Platelet Count
Assisted Circulation adverse effects
Assisted Circulation economics
Assisted Circulation mortality
Heart Transplantation adverse effects
Heart Transplantation mortality
Subjects
Details
- Language :
- French
- ISSN :
- 0003-9683
- Volume :
- 83
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Archives des maladies du coeur et des vaisseaux
- Publication Type :
- Academic Journal
- Accession number :
- 2122833