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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].

Authors :
Ninet J
Vigneron M
Cochet P
Neidecker J
d'Agrosa MC
Bastien O
de Riberolles C
Champsaur G
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.

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