Advanced heart failure in critical patients (INTERMACS 1 and 2 levels): ventricular assist devices or emergency transplantation?
نویسندگان
چکیده
منابع مشابه
The role of ventricular assist devices in advanced heart failure.
Heart failure (HF) is a major regional and global problem afflicting over 5 million Americans. According to the American Heart Association, about 550 000 new cases are diagnosed each year. Among these patients, approximately 250 000 have advanced HF and are still symptomatic despite maximal medical therapy. HF is the leading cause of hospitalizations, which poses a huge national financial burde...
متن کاملTo ventricular assist devices or not: When is implantation of a ventricular assist device appropriate in advanced ambulatory heart failure?
Advanced heart failure has been traditionally treated via either heart transplantation, continuous inotropes, consideration for hospice and more recently via left ventricular assist devices (LVAD). Heart transplantation has been limited by organ availability and the futility of other options has thrust LVAD therapy into the mainstream of therapy for end stage heart failure. Improvements in tech...
متن کاملVentricular assist devices for heart failure
BACKGROUND Heart failure is a clinical syndrome of major epidemiological and economical importance. In Germany as in other industrialised countries it is one of the leading causes of mortality, morbidity and disability. For patients not responding to medical therapies ventricular assist devices are used as bridge to transplant, bridge to recovery or as destination therapy alternative to transpl...
متن کاملOutcomes in advanced heart failure patients with left ventricular assist devices for destination therapy.
BACKGROUND The HeartMate II (HMII) destination therapy (DT) trial demonstrated significant improvements in outcomes in continuous-flow left ventricular assist devices compared with patients implanted with the pulsatile-flow HeartMate XVE. The primary hypothesis of the current study is that trial patients enrolled after the initial data cohort would have better clinical outcomes. METHODS AND R...
متن کاملClinical management of continuous-flow left ventricular assist devices in advanced heart failure.
Continuous-flow left ventricular assist devices (LVAD) have emerged as the standard of care for advanced heart failure patients requiring long-term mechanical circulatory support. Evidence-based clinical management of LVAD-supported patients is becoming increasingly important for optimizing outcomes. In this state-of-art review, we propose key elements in managing patients supported with the ne...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2012
ISSN: 1569-9293,1569-9285
DOI: 10.1093/icvts/ivs256