Permanent mechanical circulatory support in patients of advanced age

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Mechanical circulatory support in patients of advanced age.

AIMS In recent years, non-pulsatile assist devices have been increasingly used for long-term circulatory support. However, it remains to be established whether pulsatile and non-pulsatile systems can ensure a similarly low rate of complications for extended periods of time in elderly patients. METHODS AND RESULTS Of 174 patients implanted between June 1991 and January 2009 [mean age: 65 +/- 3...

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Advances in Mechanical Circulatory Support Mechanical Circulatory Support for Advanced Heart Failure Patients and Technology in Evolution

After nearly 50 years of clinical development, durable mechanical circulatory support (MCS) devices are widely available for patients with advanced heart failure. The field of circulatory support has matured dramatically in recent years, thanks to the advent of smaller, rotary pumps. The resulting transition away from older pulsatile devices has been swift. Accelerated use of continuous-flow le...

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Mechanical circulatory support for advanced heart failure.

OPINION STATEMENT Both acute and chronic systolic heart failure can progress to an advanced phase, resulting in stage D heart failure and even cardiogenic shock. Despite significant progress in the treatment of systolic heart failure using medical and device therapies, this terminal phase continues to be prevalent and associated with unacceptably high morbidity and mortality. Given the inabilit...

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Mechanical Circulatory Support

The role of mechanical circulatory device therapy has progressed rapidly over the last 2 decades, from supporting the failing heart in hospitalized patients awaiting heart transplantation to permanent or “destination” outpatient therapy in individuals with end-stage systolic heart failure (HF) for whom transplantation is not an option. Over this period, devices themselves have evolved through s...

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Pediatric Mechanical Circulatory Support

Mechanical circulatory support (MCS) in the pediatric heart failure population has a limited history especially for infants, and neonates. It has been increasingly recognized that there is a rapidly expanding population of children diagnosed and living with heart failure. This expanding population has resulted in increasing numbers of children with medically resistant end-stage heart failure. T...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2004

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2004.01.017