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Statements

Subject Item
n2:RIV%2F00209775%3A_____%2F13%3A%230000262%21RIV14-MZ0-00209775
rdf:type
n13:Vysledek skos:Concept
rdfs:seeAlso
http://dx.doi.org/10.1016/j.crvasa.2013.05.002
dcterms:description
Short-term ventricular assist device (VAD) implantation is a life-saving procedure in patients with refractory cardiogenic shock. The present paper provides our expirience with patients we were able to bridge from this critical condition directly to heart transplantation. Our group comprises 11 patients implanted a levitronix CentriMag short-term ventricular assist device from April 2009 to October 2012 as a bridge to heart transplantation. Six (55%) patients received a biventricular assist device while five (45%) had a left-ventricular assist device implanted. The mean age of patients was 41.2 years (20-63 years). Our group of patients included eight men (73%). The underlying diagnoses included dilated cardiomyopathy (5 patients), coronary heart disease (4 patients), infective endocarditis, and primary graft failure (1 patient each). Prior to implantation, all patients received high doses of inotropes, and eight (73%) patients had mechanical ventilatory support. Six (55%) patients showed laboratory signs of liver and kidney failure, and metabolic acidosis. The mean time from VAD implantation to putting the patient on the urgent waiting list for heart transplantation was 7.6 days (1-54 days) depending on organ function recovery. The mean duration of mechanical circulatory support was 26.7 days (8-72 days).The mean time from inclusion into the waiting list to transplantation was 19.1 days (4-52 days). One-month, six-months and one-year survivals post-transplant were 91%, 82%, and 73% respectively. Implantation of the CentriMag short-term ventricular assist device in patients with refractory cardiogenic shock and otherwise grim prognosis markedly increases their chances for survival. Given the relatively short waiting time in the Czech Republic, the CentriMag ventricular assist device can thus serve as a direct bridge to heart transplantation. Short-term ventricular assist device (VAD) implantation is a life-saving procedure in patients with refractory cardiogenic shock. The present paper provides our expirience with patients we were able to bridge from this critical condition directly to heart transplantation. Our group comprises 11 patients implanted a levitronix CentriMag short-term ventricular assist device from April 2009 to October 2012 as a bridge to heart transplantation. Six (55%) patients received a biventricular assist device while five (45%) had a left-ventricular assist device implanted. The mean age of patients was 41.2 years (20-63 years). Our group of patients included eight men (73%). The underlying diagnoses included dilated cardiomyopathy (5 patients), coronary heart disease (4 patients), infective endocarditis, and primary graft failure (1 patient each). Prior to implantation, all patients received high doses of inotropes, and eight (73%) patients had mechanical ventilatory support. Six (55%) patients showed laboratory signs of liver and kidney failure, and metabolic acidosis. The mean time from VAD implantation to putting the patient on the urgent waiting list for heart transplantation was 7.6 days (1-54 days) depending on organ function recovery. The mean duration of mechanical circulatory support was 26.7 days (8-72 days).The mean time from inclusion into the waiting list to transplantation was 19.1 days (4-52 days). One-month, six-months and one-year survivals post-transplant were 91%, 82%, and 73% respectively. Implantation of the CentriMag short-term ventricular assist device in patients with refractory cardiogenic shock and otherwise grim prognosis markedly increases their chances for survival. Given the relatively short waiting time in the Czech Republic, the CentriMag ventricular assist device can thus serve as a direct bridge to heart transplantation.
dcterms:title
Heart transplantation after short-term mechanical circulatory support Heart transplantation after short-term mechanical circulatory support
skos:prefLabel
Heart transplantation after short-term mechanical circulatory support Heart transplantation after short-term mechanical circulatory support
skos:notation
RIV/00209775:_____/13:#0000262!RIV14-MZ0-00209775
n13:predkladatel
n15:ico%3A00209775
n3:aktivita
n6:P n6:V n6:I
n3:aktivity
I, P(ED1.100/02/0123), V
n3:cisloPeriodika
4
n3:dodaniDat
n12:2014
n3:domaciTvurceVysledku
n4:5040809 n4:3045005 n4:2084732 n4:9838678 n4:1854178 n4:4126416 n4:6639666
n3:druhVysledku
n20:J
n3:duvernostUdaju
n14:S
n3:entitaPredkladatele
n10:predkladatel
n3:idSjednocenehoVysledku
77143
n3:idVysledku
RIV/00209775:_____/13:#0000262
n3:jazykVysledku
n19:eng
n3:klicovaSlova
ventricular assist device; cardiogenic shock; CentriMag; heart transplantation
n3:klicoveSlovo
n11:heart%20transplantation n11:ventricular%20assist%20device n11:cardiogenic%20shock n11:CentriMag
n3:kodStatuVydavatele
CZ - Česká republika
n3:kontrolniKodProRIV
[83D32E751A28]
n3:nazevZdroje
Cor et Vasa
n3:obor
n17:FA
n3:pocetDomacichTvurcuVysledku
7
n3:pocetTvurcuVysledku
7
n3:projekt
n16:ED1.100%2F02%2F0123
n3:rokUplatneniVysledku
n12:2013
n3:svazekPeriodika
55
n3:tvurceVysledku
Bedáňová, Helena Orban, Marek Ondrášek, Jiří Horváth, Vladimír Němec, Petr Pokorný, Petr Slavík, Jiří
s:issn
0010-8650
s:numberOfPages
4
n5:doi
10.1016/j.crvasa.2013.05.002