Characteristics and outcomes of patients bridged to cardiac transplantation on centrifugal ventricular assist devices: a case series of the early experience of one Canadian transplant centre

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Kimberly ScherrArvind Koshal

Abstract

Centrifugal ventricular assist devices (VADs) have been used successfully to bridge patients in cardiogenic shock to cardiac transplantation, though complications are frequent and often life-threatening. To describe characteristics and examine outcomes of patients bridged to cardiac transplantation on centrifugal VADs. A retrospective health record review was conducted on all adults over a 12 year period (N=20) placed on centrifugal VADs with the intent to bridge to cardiac transplantation at a major Canadian transplant centre. Complications of VAD support necessitated removal of 12 patients from the transplant list; seven (35%) survived to cardiac transplantation. Of the seven recipients, five survived to discharge and four remain alive and well. Bridging patients on centrifugal VADs to cardiac transplantation requires improvement, including maintaining patient stability during the period of early VAD institution, aggressively managing complications of VAD support, and consideration of long-term pulsatile devices. However, if patients survive to transplantation, good long-term outcomes are expected.

References

Jan 1, 1993·The Annals of Thoracic Surgery·G J Magovern
Jul 1, 1995·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·J S SapirsteinW S Pierce
Jun 1, 1996·The Annals of Thoracic Surgery·R G MastersW J Keon
Jan 1, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S A FischerW Piccione
Jan 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E QuainiB Mambrito
Sep 4, 1999·The Annals of Thoracic Surgery·D A Cooley
Sep 4, 1999·The Annals of Thoracic Surgery·W P Dembitsky
Sep 4, 1999·The Annals of Thoracic Surgery·D G PenningtonD P Lohmann
Jul 13, 2000·Artificial Organs·Y NoséT Takano
Oct 4, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M C DengH H Scheld
Nov 18, 2000·The Annals of Thoracic Surgery·F B HoyR C Gomez
Mar 27, 2001·The Annals of Thoracic Surgery·A El-BanayosyK Minami
Apr 11, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·B E JaskiUNKNOWN Cardiac Transplant Research Database Research Group
Jun 28, 2001·The Annals of Thoracic Surgery·L R McBrideM T Swartz
Aug 15, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Y S ChenS H Chu
Aug 15, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·S AgatiE Vitali
Apr 17, 2002·Journal of the American College of Cardiology·Keith D AaronsonFrancis D Pagani
Jun 12, 2002·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Stefan ChristiansenDieter Hammel
May 22, 2003·Journal of Cardiac Surgery·Ettore VitaliElena Ribera
Jun 25, 2003·The Annals of Thoracic Surgery·Leslie W Miller
Jun 25, 2003·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Mario C DengRobert L Kormos

❮ Previous
Next ❯

Citations

Oct 5, 2010·Artificial Organs·Daniel L TimmsUlrich Steinseifer
Feb 20, 2016·Expert Review of Medical Devices·Sajad ShehabChristopher S Hayward

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.