ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by El-Banayosy, A.
Right arrow Articles by Minami, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by El-Banayosy, A.
Right arrow Articles by Minami, K.
Related Collections
Right arrow Mechanical Circulatory Assistance
Right arrow Transplantation - heart

Ann Thorac Surg 2001;71:S98-S102
© 2001 The Society of Thoracic Surgeons

Session 2: bridging to transplant and alternatives to transplant

Device and patient management in a bridge-to-transplant setting

Aly El-Banayosy, MDa, Reiner Körfer, MD, PhDa, Latif Arusoglu, MDa, Lukas Kizner, MDa, Michiel Morshuis, MDa, Hendrik Milting, PhDa, Gero Tenderich, MDa, Oliver Fey, RNa, Kazutomo Minami, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany

Address reprint requests to Dr El-Banayosy, Klinik für Thorax- und Kardiovaskularchirurgie, Herzzentrum NRW, Georgstr 11, D-32545 Bad Oeynhausen, Germany
e-mail: abanayosy{at}hdz-nrw.de

Presented at the Fifth International Conference on Circulatory Support Devices for Severe Cardiac Failure, New York, NY, Sept 15–17, 2000.

Abstract

Background. A variety of sophisticated devices have been developed for mechanical circulatory support in patients bridged to cardiac transplantation. Based on 13 years’ experience, we have developed specific protocols for patient selection and management for different devices.

Methods. The principal systems applied in the bridge-to-transplant cohort are the Thoratec ventricular assist device (n = 144, mean duration of support 53 ± 57 days), the Novacor left ventricular assist system (LVAS) (n = 85, mean duration of support 154 ± 15 days), and the HeartMate LVAS (n = 54, mean duration of support 143 ± 142 days). The Thoratec device is used for biventricular assistance or if the duration of support is expected to be less than 6 months. For long-term support, either the Novacor or HeartMate LVAS are preferred.

Results. Despite careful postoperative patient management, this group of patients is prone to a variety of complications. Bleeding occurred in 22% to 35%, right heart failure in 15% to 26%, neurologic disorders in 7% to 28%, infection in 7% to 30%, and liver failure in 11% to 20% of patients. Complications varied with the device applied and the patient’s preoperative condition. A total of 73 patients were discharged from hospital for a mean period of 184 days; this cumulative experience amounted to 37.5 patient-years.

Conclusions. The Novacor and the HeartMate systems offer the additional possibility of discharging patients during support if they fulfill certain criteria. The main reasons for rehospitalization were thromboembolic and infectious complications.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
T. Ota, T. W. Gilbert, S. F. Badylak, D. Schwartzman, and M. A. Zenati
Electromechanical characterization of a tissue-engineered myocardial patch derived from extracellular matrix
J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 979 - 985.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Schenk, A. El-Banayosy, W. Prohaska, L. Arusoglu, M. Morshuis, W. Koester-Eiserfunke, L. Kizner, E. Murray, P. Eichler, R. Koerfer, et al.
Heparin-induced thrombocytopenia in patients receiving mechanical circulatory support
J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1373 - 1381.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. El-Banayosy, D. Cobaugh, A. Zittermann, L. Kitzner, L. Arusoglu, M. Morshuis, H. Milting, G. Tenderich, and R. Koerfer
A Multidisciplinary Network To Save the Lives of Severe, Persistent Cardiogenic Shock Patients
Ann. Thorac. Surg., August 1, 2005; 80(2): 543 - 547.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. El-Banayosy, L. Arusoglu, M. Morshuis, L. Kizner, G. Tenderich, P. Sarnowski, H. Milting, and R. Koerfer
CardioWest Total Artificial Heart: Bad Oeynhausen Experience
Ann. Thorac. Surg., August 1, 2005; 80(2): 548 - 552.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Haddad, R. G. Masters, P. J. Hendry, A. Kawai, J. P. Veinot, G. Lavallee, and T. V. Mussivand
Intercontinental LVAS Patient Transport
Ann. Thorac. Surg., November 1, 2004; 78(5): 1818 - 1820.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
F. Collart, H. Feier, D. Metras, and T. G. Mesana
A safe, alternative technique for off-pump left ventricular assist device implantation in high-risk reoperative cases
Interactive CardioVascular and Thoracic Surgery, June 1, 2004; 3(2): 286 - 288.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R.D. Dowling, S.J. Park, F.D. Pagani, A.J. Tector, Y. Naka, T.B. Icenogle, V.L. Poirier, and O.H. Frazier
HeartMate(R) VE LVAS design enhancements and its impact on device reliability
Eur. J. Cardiothorac. Surg., June 1, 2004; 25(6): 958 - 963.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. A. Morgan, R. John, V. Rao, A. D. Weinberg, B. J. Lee, P. A. Mazzeo, M. R. Flannery, J. M. Chen, M. C. Oz, and Y. Naka
Bridging to transplant with the HeartMate left ventricular assist device: The Columbia Presbyterian 12-year experience
J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1309 - 1316.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. Kleikamp, A. Maleszka, N. Reiss, B. Stuttgen, and R. Korfer
Determinants of mid- and long-term results in patients after surgical revascularization for ischemic cardiomyopathy
Ann. Thorac. Surg., May 1, 2003; 75(5): 1406 - 1412.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
E. L. Kukuy, M. C. Oz, and Y. Naka
Long-Term Mechanical Circulatory Support
Card. Surg. Adult, January 1, 2003; 2(2003): 1491 - 1506.
[Full Text]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J.M. Grinda, C.H. Latremouille, P. Chevalier, N. D'Attelis, F. Boughenou, R. Guillemain, A. Deloche, and J.N. Fabiani
Bridge to transplantation with the DeBakey VAD(R) axial pump: a single center report
Eur. J. Cardiothorac. Surg., December 1, 2002; 22(6): 965 - 970.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. Miyagawa, Y. Sawa, S. Taketani, N. Kawaguchi, T. Nakamura, N. Matsuura, and H. Matsuda
Myocardial Regeneration Therapy for Heart Failure: Hepatocyte Growth Factor Enhances the Effect of Cellular Cardiomyoplasty
Circulation, May 28, 2002; 105(21): 2556 - 2561.
[Abstract] [Full Text] [PDF]

Home page
 J. Virol.Home page
L. A. Brewer, H. C. M. Lwamba, M. P. Murtaugh, A. C. Palmenberg, C. Brown, and M. K. Njenga
Porcine Encephalomyocarditis Virus Persists in Pig Myocardium and Infects Human Myocardial Cells
J. Virol., December 1, 2001; 75(23): 11621 - 11629.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.