Title of article :
Mechanical bridge to transplantation: When is too early? When is too late?
Author/Authors :
Daniel Y. Loisance، نويسنده , , Frédéric Pouillart، نويسنده , , Christophe Benvenuti، نويسنده , , Philippe H. Deleuze، نويسنده , , Jean-Philippe Mazzucotelli، نويسنده , , Paul Le Besnerais، نويسنده , , Ali Mourtada، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1996
Pages :
3
From page :
388
To page :
390
Abstract :
Background. Optimal timing of implantation of a mechanical circulatory support system in the treatment of acute cardiogenic shock is still unsettled. The issue has been addressed in a retrospective analysis of a group of 98 patients in cardiogenic shock refractory to medical therapy who were candidates for cardiac transplantation, admitted from 1987 to 1994. Methods. The treatment included reinforced inotropic support by addition of phosphodiesterase inhibitors to sympathomimetic agents. The patients who did not improve were immediately brought to the operating room for mechanical circulatory support system implantation. Results. The overall survival in the group of 28 patients selected for mechanical bridge is 50%. No predictive factors of death or multiorgan failure while on the device could be identified, suggesting a lack of contraindications to mechanical circulatory support system implantation. Conclusions. The high death rate in patients maintained on medical therapy because of initial improvement as they are awaiting transplantation suggests the benefit of a rapid semielective implantation of an intracorporeal device.
Journal title :
The Annals of Thoracic Surgery
Serial Year :
1996
Journal title :
The Annals of Thoracic Surgery
Record number :
613179
Link To Document :
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