PMID: 8947457Dec 1, 1996Paper

Current status of heart assist and replacement in Taiwan

Artificial Organs
S S Wang, S H Chu

Abstract

The first clinical application of intraaortic balloon pumps (IABP) in Taiwan was in 1976 to treat post-cardiotomy cardiogenic shock. It is now the most commonly used circulatory assist. From 1991 to 1995, 186 patients received IABP support with an overall mortality rate 41.9%. The male patients had the best survival rate, 67%, after coronary artery bypass grafting. The first extracorporeal membrane oxygenation (ECMO) was in 1987 to treat intractable heart failure caused by severe acute rejection after heart transplantation. Because of poor outcome, patients only received ECMO sporadically during the past years. From November 1994 to November 1995, 30 patients received ECMO support with 50% of them eventually weaned from ECMO and 27% discharged. For short-term support or emergency rescue, ECMO was a good choice. When long-term support was required, the ventricular assist device (VAD) was a more suitable assist. One patient who received Thermedics VAD developed right heart failure and finally died of sepsis and multiple organ failure. VAD should be implanted before the secondary organ failure. The first successful clinical heart transplantation in Taiwan was performed on July 17, 1987. From 1991 to 1995, 102 patients underwent he...Continue Reading

References

Jun 1, 1992·The Annals of Thoracic Surgery·O H FrazierK A Dasse
Jan 1, 1991·Japanese Circulation Journal·S H ChuC L Chen
Feb 2, 1984·The New England Journal of Medicine·W C DeVriesW J Kolff

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Citations

Jan 1, 2007·The Open Biomedical Engineering Journal·Kun-Xi Qian
Nov 11, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·H MatsudaR Shirakura
Nov 24, 2004·Artificial Organs·Jeou-Jong ShyuShu-Hsun Chu

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