The total artificial heart--a bridge to transplantation.
نویسندگان
چکیده
Many heart centers are utilizing the total artificial heart for a bridging technique to transplantation, particularly in patients with bi-ventricular failure or irreversible left ventricular failure, where a donor heart is not readily available. This discussion includes the training procedure, operation and management of Canada's first total artificial heart performed on May 1, 1986.
منابع مشابه
Beyond implantable first generation cardiac prostheses for treatment of end-stage cardiac patients with clinical results in a multicenter.
After 30 years of research and development effort for both ventricular assist device (VAD) and total artificial heart (TAH) in the United States, they have been demonstrating effectiveness in the bridge to transplantation and destination therapy. Smaller size, long-term durable second generation and third generation blood pumps are now being tested in animals and moving to clinical applications...
متن کاملA first step beyond traditional boundaries: destination therapy with the SynCardia total artificial heart.
The SynCardia total artificial heart is currently used as a bridge to transplantation therapy in cases of irreversible, acute or chronic, biventricular heart failure. We describe the implementation of this technology in the context of destination therapy in a patient with an end-stage heart failure on grounds of primary amyloidosis.
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OBJECTIVE Because of a lack of donor hearts, an increasing number of patients with heart failure must now undergo bridge to cardiac transplantation with a mechanical circulatory support device. Moreover, support periods have become longer. As a result, pericardial adhesions may develop while the support device is implanted, increasing the risk of injury at resternotomy and bleeding after transp...
متن کاملImplantation of total artificial heart in congenital heart disease.
In patients with end-stage heart failure (HF), a total artificial heart (TAH) may be implanted as a bridge to cardiac transplant. However, in congenital heart disease (CHD), the malformed heart presents a challenge to TAH implantation. In the case presented here, a 17 year-old patient with congenital transposition of the great arteries (CCTGA) experienced progressively worsening HF due to his c...
متن کاملCirculatory assist devices 2000: an update.
Mechanical circulatory assist devices have been used in clinical practice as a bridge to transplantation since the late 1960s. In 1982, the first totally artificial heart designated as permanent therapy was implanted, but relatively few totally artificial hearts are implanted today. In the last several years, there has been a shift toward the use of left ventricular assist devices as a bridge t...
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ورودعنوان ژورنال:
- The journal of extra-corporeal technology
دوره 22 2 شماره
صفحات -
تاریخ انتشار 1990