[Mechanical circulatory support. 2: Ventricular assist systems].
In cardiac surgery, ventricular assist devices for mechanical circulatory support are implanted for short or mid-term use in patients with therapy refractory postoperative low-output-syndrome to overtake the function of the left, right or of both ventricles until recovery of myocardium can be achieved. In the long-term, these systems are in use as a bridge to transplantation. An increasing number of clinical reports clearly demonstrates that ventricular assist devices can guarantee in a relatively high percentage of patients with postoperative low-output-syndrome a sufficient regeneration of the cardiac function with satisfactory functional and hemodynamic long-term results. Furthermore, a high percentage of patients bridged to transplantation can be successfully transplanted with good clinical outcome and survival rates.
Borowski
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A
Klinik und Poliklinik für Herzchirurgie, Universität Köln.
Korb
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H
D002303:Cardiac Output, Low / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D002423:Cause of Death; D004867:Equipment Design; D016027:Heart Transplantation / Q000502:physiology*; D006353:Heart-Assist Devices; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D015996:Survival Rate
Mechanische Kreislaufunterstützung. Teil 2: Ventrikuläre Assistenzsysteme.