Clinical indications for the use of the "Poisk-IOM" total artificial heart: the experience of 13 implantations in humans.
Success of total artificial heart (TAH) implantation as a temporary measure depends on three factors: proper patient selection, adequate surgical technique, and safe cardiac prostheses. From 1986 until March 1990, 237 patients with stagnant heart failure were examined. Sixty-one patients (27%) were put on a waiting list. Thirty-eight percent of them died awaiting transplantation. Thirteen TAH implantations were performed; nine patients who were not on a waiting list underwent TAH implantation by urgent indications. Four other patients underwent bridge TAH implantation after cardiac surgery. Our experience shows that the status of a patient before transplantation is a determinant factor and that it is possible to perform TAH implantation only in patients on a waiting list.
Shumakov
V
V
Scientific-Research Institute for Transplantology and Artificial Organs, U.S.S.R. Ministry of Health, Moscow.
Zimin
N
N
Kazakov
E
E
Kormer
A
A
Vorontsov
S
S
Nikolaenko
E
E
Kozlov
I
I
Drobyshev
A
A
D000328:Adult; D001243:Assisted Circulation; D003327:Coronary Disease / Q000628:therapy; D005260:Female; D006333:Heart Failure / Q000628:therapy; D016027:Heart Transplantation; D006354:Heart, Artificial; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D014850:Waiting Lists