PMID: 9423943Jan 10, 1998Paper

Is mechanical circulatory support helpful before cardiac retransplantation?

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
P NoirhommeR Dion

Abstract

Ventricular assist devices are widely used as a bridge for cardiac transplantation patients. The purpose of the present study was to evaluate retrospectively, whether the use of ventricular assist devices could increase survival after early or late retransplantation. Over the past 10 years, 219 patients were transplanted in the authors' centre. Eight of 11 retransplanted patients required preoperative insertion of a ventricular assist device. Five assist systems were implanted in the early period after transplantation ( < 30 days) and three later after transplantation ( > 30 days). After early retransplantation, two patients survived and three died. All three late retransplantations were successful and all patients are still alive with a mean (s.d.) follow-up of 25(22) months. Ventricular assist devices are helpful for late retransplantation but do not improve poor survival after early retransplantation. Such devices should not be set up for early retransplantation.

References

May 11, 1991·Lancet·J de BoerG G Persijn
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Feb 1, 1995·The Annals of Thoracic Surgery·R KörferH Körtke
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Citations

Nov 22, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Veli K TopkaraYoshifumi Naka
Aug 12, 2003·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Branislav RadovancevicDavid C Naftel
Aug 15, 2009·Transplant International : Official Journal of the European Society for Organ Transplantation·Nicola VistariniMario Vigano
Dec 3, 2014·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Kevin J ClerkinDonna M Mancini
May 9, 2006·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Gianluca SantiseEmma J Birks

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