Document Detail


Outpatient left ventricular assist device support: a destination rather than a bridge.
MedLine Citation:
PMID:  8783988     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To evaluate the feasibility and efficacy of outpatient left ventricular assist devices as a bridge to transplantation, we reviewed the initial clinical experience with this modality at our institution. METHODS: During January 1993 to November 1995, 12 male and 2 female patients with an average age of 47 +/- 17 years were supported for an average of 117 +/- 24 days with the Thermo Cardiosystems VE wearable left ventricular assist device. Seven patients were discharged home an average of 35 +/- 4 days after implantation. RESULTS: No device failures occurred, although 29 controller malfunctions were identified during 1,640 total support days. All patients were able to safely maintain their devices. Outflow graft bleeding and driveline infection were responsible for two readmissions. No long-term anticoagulation treatment was used; one small thromboembolic episode occurred, but without significant long-term sequelae. CONCLUSIONS: None of the 7 patients released from the hospital died, and all were able to successfully maintain their devices at home. Hospital discharge of patients supported with left ventricular assist devices has allowed long-term evaluation of this technology, and the findings should prompt study of their use as a long-term alternative treatment to medical management for congestive heart failure.
Authors:
K A Catanese; D J Goldstein; D L Williams; A T Foray; C D Illick; M T Gardocki; A D Weinberg; H R Levin; E A Rose; M C Oz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  62     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-09     Completed Date:  1996-10-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  646-52; discussion 653     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, College of Physicians & Surgeons, Columbia University, New York, New York, USA. catanes@cucis.cis.columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ambulatory Care*
Cardiac Output, Low / etiology,  therapy
Equipment Failure
Exercise Test
Feasibility Studies
Female
Heart Transplantation*
Heart-Assist Devices* / adverse effects
Hemodynamics
Humans
Male
Middle Aged
Prostheses and Implants
Quality of Life
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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