| Autor: |
Adachi I; From the Congenital Heart Surgery Department, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas., Guzmán-Pruneda FA, Khan MS, McKenzie ED, Fraser CD Jr |
| Jazyk: |
angličtina |
| Zdroj: |
ASAIO journal (American Society for Artificial Internal Organs : 1992) [ASAIO J] 2015 Nov-Dec; Vol. 61 (6), pp. 729-30. |
| DOI: |
10.1097/MAT.0000000000000281 |
| Abstrakt: |
We sought to determine whether ventricular assist device (VAD) support is an effective therapy in children with cardiac graft dysfunction. We conducted a retrospective review of VAD usage in this scenario at our institution. Although short-term VAD support was highly successful (89% [eight out of nine] were bridged to recovery), only 29% (2 out of 7) with long-term VAD survived to retransplant. Of note, three out of five mortalities with long-term VAD were related to sepsis (two fungal and one Gram-negative bacterial). Infectious risk imposed by ongoing immunosuppressive therapy limits the role of long-term VAD in this population. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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