[Mechanical circulatory support saves lives -- three years' experience of the newly established assist device program at Semmelweis University, Budapest, Hungary].

نویسندگان

  • Levente Fazekas
  • Balázs Sax
  • István Hartyánszky
  • Miklós Pólos
  • Ferenc Horkay
  • Tamás Varga
  • Kristóf Rácz
  • Endre Németh
  • Andrea Székely
  • Erzsébet Paulovich
  • Krisztina Heltai
  • Endre Zima
  • Zoltán Szabolcs
  • Béla Merkely
چکیده

INTRODUCTION Since the celebration of the 20th anniversary of the first heart transplantation in Hungary in 2012 the emerging need for modern heart failure management via mechanical circulatory support has evolved. In May 2012 the opening of a new heart failure and transplant unit with 9 beds together with the procurement of necessary devices at Semmelweis University accomplished this need. AIM The aim of the authors was to report their initial experience obtained in this new cardiac assist device program. METHOD Since May, 2012, mechanical circulatory support system was applied in 89 cases in 72 patients. Indication for support were end stage heart failure refractory to medical treatment and acute left or right heart failure. RESULTS Treatment was initiated for acute graft failure after heart transplantation in 27 cases, for end stage heart failure in 24 cases, for acute myocardial infarction in 21 cases, for acute postcardiotomy heart failure in 14 cases, for severe respiratory insufficiency in 2 cases and for drug intoxication in one case. Among the 30 survivor of the whole program 13 patients were successfully transplanted. CONCLUSIONS The available devices can cover all modalities of current bridge therapy from short term support through medium support to heart transplantation or long term support and destination therapy. These conditions made possible the successful start of a new cardiac assist device program.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

International Patients on Operation Vacation – Perspectives of Patients Travelling to Hungary for Orthopaedic Treatments

Background The importance of cross-border healthcare, medical and health tourism plays a significant role in the European health policy and health management. After dentistry, orthopaedic treatments are the leading motivation for seeking care in Hungary, as patients with rheumatic and motion diseases are drawn to the thermal spas and well-established orthopaedic centres. This paper aims to gain...

متن کامل

Peripheral dendritic cells in asthma.

Á Cseh, A Bohács, B Szalay, G Losonczy, T Tulassay, B Vásárhelyi, L Tamási Research Group for Pediatrics and Nephrology, Semmelweis University and Hungarian Academy of Sciences, Budapest, Hungary Department of Pulmonology, Semmelweis University, Budapest, Hungary First Department of Pediatrics, Semmelweis University, Budapest, Hungary Department of Laboratory Medicine, Semmelweis University, Bu...

متن کامل

Commentary: A Neural Basis for the Acquired Capacity for Suicide

1 Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary, 2 MTA-SE Neuropsychopharmacology and Neurochemistry Research Group of the Hungarian Academy of Science, Semmelweis University, Budapest, Hungary, 3 NAP-A-SE New Antidepressant Target Research Group, Semmelweis University, Budapest, Hungary, 4 Laboratory for Suicide Prevention and Research, National Institute...

متن کامل

Maternal glycemia and macrosomia Maternal glycemia and risk of large for gestational age babies in a population- based screening Running title: Maternal glycemia and macrosomia

1 – National Centre for Diabetes Care, Budapest, Hungary 2 – Csepel Health Service, Department of Diabetology, Budapest, Hungary 3 – Semmelweis University Faculty of Medicine, 1st Department of Medicine, Budapest, Hungary 4 – University College London, Department of Epidemiology and Public Health, London, United Kingdom 5 – Finnish Institute of Occupational Health, Helsinki, Finland 6 – Semmelw...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Orvosi hetilap

دوره 156 13  شماره 

صفحات  -

تاریخ انتشار 2015