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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Krabatsch, T; Schweiger, M; Stepanenko, A; Drews, T; Potapov, E; Pasic, M; Weng, Y; Huebler, M; Hetzer, R.
Improvements in implantable mechanical circulatory support systems : literature overview and update.
Herz. 2011; 36(7):622-629 Doi: 10.1007/s00059-011-3509-5
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Führende Autor*innen der Med Uni Graz
Schweiger Martin
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Abstract:
In recent years, ventricular assist devices (VAD) supporting the left (LVAD), the right (RVAD) or both ventricles (BVAD) have rapidly emerged as the standard of care for advanced heart failure patients. Both the numbers and ages of patients in which they are used are rising worldwide, especially when used as a permanent support (bridge to destination, BTD). Due to the continuing lack of donor organs, these devices now represent a viable alternative to bridge patients to transplantation (BTT), with a 1-year survival rate of 86%. BTD, especially in long-term support, might be a valid, and the sole, option for those patients in whom heart transplantation is contraindicated. Patient selection, pre- and intra-operative preparation, as well as the timing of VAD implantation are important factors critical to successful circulatory support. While BTT remains the goal in the majority of patients, the number of permanent VADs (i. e. BTD) is rising significantly. Although explantation of a VAD system as a bridge to recovery (BTR) can be considered in only a small number of patients, it represents a very special part of this therapy modality.
Find related publications in this database (using NLM MeSH Indexing)
Activities of Daily Living - classification
Equipment Design -
Heart Failure - therapy
Heart Transplantation -
Heart, Artificial -
Heart-Assist Devices -
Hemodynamics - physiology
Humans -
Patient Selection -
Prosthesis Design -
Survival Rate -
Ventricular Dysfunction, Left - mortality
Ventricular Dysfunction, Right - mortality

Find related publications in this database (Keywords)
Heart failure
Ventricular assist devices
Mechanical circulatory support
VAD implantation
Long-term support
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