[Uni- or biventricular circulatory assist devices. Selection criteria and patients' follow-up, choice of device].
Therapy of patients presenting with cardiogenic shock refractory to medical treatment can be undertaken with uni or biventricular circulatory assist devices. Pre implantation evaluation of patients is aimed at defining the etiology as well as the extent of uni versus biventricular heart failure, the possibility of recovery of myocardial function improvement of vital organ function and the possibility of cardiac transplantation. Circulatory assist devices must provide efficient support of the failing ventricles, allow recovery of myocardial function or cardiac transplantation under optimal circumstances. The choice of uni-biventricular support of total artificial heart is discussed as well as criteria useful in defining a therapeutic strategy.
Villemot
J P
JP
Service de chirurgie cardiaque at transplantations cardio-thoraciques, CHU Brabois, Vandoeuvre.
Carteaux
J P
JP
Bischoff
N
N
Perlot
P
P
Pinelli
G
G
Hubert
T
T
Longrois
D
D
Mertès
P M
PM
Mattéi
M F
MF
Lecompte
T
T
D000328:Adult; D001243:Assisted Circulation / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D004867:Equipment Design; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016027:Heart Transplantation; D006354:Heart, Artificial / Q000009:adverse effects; D006439:Hemodynamics; D006801:Humans; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D016896:Treatment Outcome; D018754:Ventricular Dysfunction / Q000503:physiopathology / Q000628:therapy
Assistances uni- ou biventriculaires. Critères de sélection et de surveillance des patients, choix du dispositif.