scholarly journals 0513: Bridge to transplantation versus standard heart transplantation: heart transplantation performed after ventricular assistance device is associated with improved survival

2016 ◽  
Vol 8 (1) ◽  
pp. 108
Author(s):  
Thibaut Petroni ◽  
Cosimo D’Alessandro ◽  
Alain Combes ◽  
Jean-Louis Golmard ◽  
Nicolas Bréchot ◽  
...  
2021 ◽  
Author(s):  
Mleyhi Sobhi ◽  
Miri Rim ◽  
Denguir Raouf

Indication of Ventricular assistance is advanced cardiac failure with maximal medical and surgical treatment has been used. The ventricular assistance has two main purposes: first, to maintain circulation by discharging the ventricle (s) untill to recovery, or to ensure patient survival by replacing cardiac function permanently or transitionally for patients waiting for heart Transplantation. The encouraging results of the partial or total artificial heart and the miniaturization of these devices allow their use in permanent implantation for patients with heart failure that is not eligible for heart transplantation. In left mono-ventricular assistance, blood is taken from the apex of the left ventricle (LV) and reinjected in the ascending aorta. The classic surgical approach is a total median sternotomy. Other minimally invasive approaches for the implantation or explanation of left ventricular assist devices have been published and have shown encouraging results. These alternatives currently play an important role in certain indications and in patients with heavy medical history. Nevertheless, the complications of the ventricular assistance even by minimally invasive approaches might be serious and represent a turning point in the life of the patients. In this chapter, we describe the implantation technique of left ventricular assistance device (LVAD) and we discuss its advantages and disadvantages including possible complications.


2014 ◽  
Vol 10 (1) ◽  
pp. S39-S45
Author(s):  
Mario Gaudino ◽  
Piero Farina ◽  
Sonia Bernazzali ◽  
Piergiorgio Bruno ◽  
Christian Colizzi ◽  
...  

2008 ◽  
Vol 34 (6) ◽  
pp. 1129-1133 ◽  
Author(s):  
Hiroyuki Kamiya ◽  
Achim Koch ◽  
Falk-Udo Sack ◽  
Payam Akhyari ◽  
Andrew Remppis ◽  
...  

2021 ◽  
Vol 15 ◽  
Author(s):  
Michael T Cain ◽  
Michael S Firstenberg ◽  
Joseph C Cleveland

For nearly 60 years, there have been two surgical treatment options for individuals with severe advanced heart failure: heart transplantation or implantation of a left ventricular assist device. As these fields have advanced in parallel, improvements in surgical technique, device development, and patient selection have improved outcomes for both therapies. Development of a comprehensive approach to the management of the most severe forms of advanced heart failure requires a deep understanding of both heart transplantation and durable ventricular assistance, including recent advancements in both fields. This article will review the substantial progress in the fields of heart transplantation and mechanical left ventricular assistance, including recent changes to organ allocation prioritization and left ventricular assist device evaluation, both of which have dramatically influenced practice in these fields.


2019 ◽  
Vol 09 (08) ◽  
pp. 545-552
Author(s):  
Raquel López-Vilella ◽  
Ignacio J. Sánchez-Lázaro ◽  
María Paz Fuset Cabanes ◽  
Azucena Pajares Moncho ◽  
Lucía Doñate Bertolín ◽  
...  

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