NDLI: Extracorporeal membrane oxygenation and Thoratec pneumatic ventricular assist devices as double bridge to heart transplantation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chou, N-K Luo, J-M Chi, N-H Wu, I-H Huang, S-C Chen, Y-S Yu, H-Y Tsao, C-I Ko, W-J Chu, S-H Wang, S-S
Spatial Coverage	Taiwan
Description	Country affiliation: Taiwan Author Affiliation: Chou NK ( Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.)
Abstract	INTRODUCTION: Ventricular assist devices have benefited patients with end-stage heart failure as a bridge to heart transplantation (HTx). We present our experiment of HTx using extracorporeal membrane oxygenation (ECMO) with Thoratec pneumatic ventricular assist device (TpVAD). METHODS: From May 1996 to June 2011, among 410 patients who underwent HTx 23 required mechanical circulatory support (MCS) with implantation of the TpVAD and 15 (65%) of them received grafts. RESULTS: The 23 patients included 4 female and 19 male patients of age range 10 to 80 years. Eighteen (78%) of them needed ECMO before TpVAD implantation. Twelve (67%) were implanted with a TpVAD double bridge to HTx. The demand for MCS among patients with acute hemodynamic collapse has led to major improvements in the existing systems such as ECMO with double bridge to TpVAD. CONCLUSION: We used ECMO as a rescue procedure for acute hemodynamic deterioration. However, during ECMO support, left ventricular afterload increased. If prolonged support is required, TpVAD might be required: 15 (65%) of patients supported by ECMO with TpVAD needed to a wait a suitable donor. We recommend the application of ECMO for short-term support (within 1 week), and TpVAD as a bridge for medium- or long-term support.
File Format	HTM / HTML
ISSN	00411345
Issue Number	4
Volume Number	44
e-ISSN	18732623
Journal	Transplantation Proceedings
Language	English
Publisher	Elsevier
Publisher Date	2012-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Transplantation__semicolon__medicine Extracorporeal Membrane Oxygenation Heart Failure Therapy Heart Transplantation Heart-assist Devices Tissue Donors Supply & Distribution Adult Aged Aged, 80 And Over Child Adverse Effects Mortality Female Physiopathology Surgery Hemodynamics Humans Male Middle Aged Prosthesis Design Taiwan Time Factors Treatment Outcome Ventricular Function, Left Waiting Lists Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Transplantation Surgery

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