Outcomes of venopulmonary arterial extracorporeal life support as temporary right ventricular support after left ventricular assist implantation

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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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Right ventricular support after implantation of a Novacor Left Ventricular Assist Device.

The objective was to determine which factors might help to predict the need for mechanical right ventricular support following insertion of a left ventricular assist device (LVAD). A retrospective analysis was performed on 24 patients with cardiomyopathies who had insertion of a LVAD as a bridge to heart transplantation at Presbyterian University Hospital during the period 1987 to 1991. Group...

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Extracorporeal membrane oxygenation as perioperative right ventricular support in patients with biventricular failure undergoing left ventricular assist device implantation.

OBJECTIVE Left-ventricular assist device (LVAD) implantation complicated by early right ventricle (RV) failure has a poor prognosis. This study details our center's experience with veno-arterial extracorporeal membrane oxygenation (ECMO) as perioperative RV support in patients with preoperative biventricular failure undergoing LVAD implantation. METHODS Ten patients, who underwent LVAD implan...

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Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation.

OBJECTIVE Acute right ventricular (RV) failure is a life-threatening condition with a poor prognosis, and sometimes the use of mechanical circulatory support is inevitable. In this article, we describe our experience using a centrifugal pump as a temporary percutaneous right ventricular assist device (RVAD) in patients with postoperative acute refractory RV failure after left ventricular assist...

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Implantation of left ventricular support under extracorporeal membrane oxygenation.

Continuous-flow left ventricular assist devices (LVADs) are used to manage patients with end-stage heart failure. Protection of right ventricular (RV) function is important during LVAD implantation, but sometimes patients require temporary RV support. We describe the technique of LVAD implantation under extracorporeal membrane oxygenation (ECMO) we use in our center. This technique allows soft ...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2018

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2018.05.077