Extracorporeal membrane oxygenation hybrid with various ventricular assist devices as double bridge to heart transplantation.

Abstract:

:Ventricular assist devices (VAD) have benefitted patients with end-stage heart failure as a bridge to heart transplantation (HTx). We present our experience with HTx after an extracorporeal membrane oxygenation (ECMO) hybrid with various ventricular assist devices (VAD). From May 1996 to December 2003, mechanical circulatory support with a Biopump VAD was performed in eight patients, HeartMate left VAD in eight patients, and Thoratec VAD in eight patients. Before VAD implantation, 19 patients maintained their circulation with ECMO. Half of the 24 patients were implanted with VAD to await a suitable donor for HTx. We observed that half of the patients supported by ECMO hybrid with various VAD awaited a suitable donor for HTx. In our experience, we recommend the application of ECMO for short-term support within 1 week and the Biopump VAD, Thoractec VAD, or HeartMate VAD for medium-term or long-term support as a bridge to HTx.

journal_name

Transplant Proc

authors

Chou NK,Chen YS,Chi NH,Hsu RB,Ko WJ,Yu HY,Lin FY,Wang SS

doi

10.1016/j.transproceed.2006.06.052

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

2127-9

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00670-1

journal_volume

38

pub_type

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