Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Spiliopoulos, S; Dimitriou, AM; Serrano, MR; Guersoy, D; Autschbach, R; Goetzenich, A; Koerfer, R; Tenderich, G.
Percutaneous dilatational tracheostomy following total artificial heart implantation.
Interact Cardiovasc Thorac Surg. 2015; 21(1):117-118
Doi: 10.1093/icvts/ivv071
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- Führende Autor*innen der Med Uni Graz
- Spiliopoulos Sotirios
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- Abstract:
- Coagulation disorders and an immune-altered state are common among total artificial heart patients. In this context, we sought to evaluate the safety of percutaneous dilatational tracheostomy in cases of prolonged need for mechanical ventilatory support. We retrospectively analysed the charts of 11 total artificial heart patients who received percutaneous dilatational tracheostomy. We focused on early and late complications. We observed no major complications and no procedure-related deaths. Early minor complications included venous oozing (45.4%) and one case of local infection. Late complications, including subglottic stenosis, stomal infection or infections of the lower respiratory tract, were not observed. In conclusion, percutaneous dilatational tracheostomy in total artificial heart patients is safe. Considering the well-known benefits of early tracheotomy over prolonged translaryngeal intubation, we advocate early timing of therapy in cases of prolonged mechanical ventilation. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Cardiomyopathies - complications Cardiomyopathies - diagnosis Cardiomyopathies - physiopathology
- Dilatation -
- Female -
- Heart Failure - diagnosis Heart Failure - etiology Heart Failure - physiopathology Heart Failure - surgery
- Heart, Artificial -
- Humans -
- Intubation, Intratracheal -
- Male -
- Middle Aged -
- Postoperative Complications - etiology
- Prosthesis Implantation - adverse effects Prosthesis Implantation - instrumentation
- Respiration, Artificial -
- Retrospective Studies -
- Risk Factors -
- Time Factors -
- Tracheostomy - adverse effects Tracheostomy - methods
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Artificial heart
- Respiratory insufficiency
- Tracheostomy