Mechanical circulatory support – a potential pathway to heart function recovery

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Mechanical circulatory support in heart failure

The increasing number of end-stage heart failure patients eligible for heart transplant and the disproportionately low number of donor hearts have led to increased interest in ventricular assist devices (VAD). These devices can be used as a bridge to decision, bridge to recovery, or bridge to candidacy. The main advantage of mechanical circulatory support (MCS) is the improvement of organ perfu...

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Advances in Mechanical Circulatory Support Percutaneous Circulatory Support in Cardiogenic Shock Interventional Bridge to Recovery

to Recovery Percutaneous Circulatory Support in Cardiogenic Shock : Interventional Bridge ISSN: 1524-4539 Copyright © 2012 American Heart Association. All rights reserved. Print ISSN: 0009-7322. Online 72514 Circulation is published by the American Heart Association. 7272 Greenville Avenue, Dallas, TX doi: 10.1161/CIRCULATIONAHA.111.04022

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Mechanical circulatory support after paediatric heart transplantation.

OBJECTIVES Mechanical circulatory support (MCS) may be required after orthotopic heart transplantation (OHTx) in children for the treatment of failure or rejection. We review the incidence and outcomes of post-transplant MCS in our institution. METHODS MCS was classified as early (<1 month since transplant) or late (>1 month since transplant) and the support offered was either veno-arterial e...

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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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Myocardial recovery during mechanical circulatory support: weaning and explantation criteria

For selected patients ventricular assist device explantation is feasible. Freedom from heart transplantation and VAD support for >15 years following VAD removal is possible even if recovery is incomplete and the underlying cause for ventricular assist device implantation was a chronic form of cardiomyopathy. Echocardiography and rightheart catheterization are necessary to assess cardiac recover...

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ژورنال

عنوان ژورنال: The Journal of Pediatrics

سال: 2017

ISSN: 0022-3476

DOI: 10.1016/j.jpeds.2017.01.006