Clinical temporary ventricular assist

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Survival after left ventricular assist device with and without temporary right ventricular support.

BACKGROUND Right ventricular (RV) failure after the insertion of a left ventricular assist device (LVAD) historically results in poor outcomes. Patients requiring temporary RV support after LVAD insertion are a heterogeneous group of patients consisting of those in cardiogenic shock after myocardial infarction, to those with chronic decompensated heart failure. For patients requiring biventricu...

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Percutaneous ventricular assist devices: clinical evidence

Efficient therapy of cardiogenic shock and optimal protection in high-risk p ercutaneous coronary intervention are still orphaned to ideal management. Intra-aortic b alloon pump and the newer percutaneous ventricular assist devices, such as TandemHeart and Impella Recover LP 2.5, have diversified the therapeutic arsenal with which one can tackle these clinical dilemmas. This article describes t...

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Temporary assist device for postcardiotomy cardiac failure.

Postcardiotomy left ventricular failure (LVF) complicating a cardiac surgical procedure is usually managed with intraaortic balloon pump (IABP) counterpulsation. We report two cases of postcardiotomy LVF unresponsive to inotropic support and IABP counterpulsation that were managed successfully with the use of the TandemHeart percutaneous ventricular assist device (pVAD) (CardiacAssist, Pittsbur...

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Atypical tamponade hemodynamic in a patient with temporary left ventricular assist device.

Postoperative bleeding and tamponade are considered major complications after implantation of left ventricular assist devices. Firstly, 40% of patients supported by ventricular assist devices experience early postoperative bleeding, and 20% developed tamponade requiring re-exploration. Secondly, we present a case of a patient with tamponade, on temporary left ventricular assist device (LVAD) su...

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Feasibility study of a temporary percutaneous left ventricular assist device in cardiac surgery.

BACKGROUND The aim of this study is to evaluate a percutaneous left ventricular assist device (Tandem Heart pVAD; Cardiac Assist, Pittsburgh, Pennsylvania) in the postcardiotomy setting. METHODS Between August 2001 and August 2004, 11 high-risk male patients who had undergone heart failure surgery or surgical revascularization were supported by the TandemHeart postcardiotomy. The major indica...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1986

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)35823-4