Concurrent Left Ventricular Assist Device (LVAD) Implantation and Percutaneous Temporary RVAD Support via CardiacAssist Protek-Duo TandemHeart to Preempt Right Heart Failure.

Autor:	Schmack B; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany., Weymann A; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany., Popov AF; Department of Cardiothoracic Transplantation & Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom., Patil NP; Department of Cardiothoracic Transplantation & Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom., Sabashnikov A; Department of Cardiothoracic Transplantation & Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom., Kremer J; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany., Farag M; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany., Brcic A; Department of Anaesthesiology, University Hospital Heidelberg, Heidelberg, Germany., Lichtenstern C; Department of Anaesthesiology, University Hospital Heidelberg, Heidelberg, Germany., Karck M; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany., Ruhparwar A; Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany.
Jazyk:	angličtina
Zdroj:	Medical science monitor basic research [Med Sci Monit Basic Res] 2016 May 05; Vol. 22, pp. 53-7. Date of Electronic Publication: 2016 May 05.
DOI:	10.12659/MSMBR.898897
Abstrakt:	Right ventricular failure (RVF) is an unfortunate complication that continues to limit outcomes following durable left ventricular assist device (LVAD) implantation. Despite several 'RVF risk scores' having been proposed, preoperative prediction of post-LVAD RVF remains a guesstimate at best. Current strategies for institution of temporary RVAD support are invasive, necessitate additional re-thoracotomy, restrict postoperative mobilization, and/or entail prolonged retention of prosthetic material in-situ. The authors propose a novel surgical strategy comprising simultaneous implantation of a permanent LVAD and percutaneous TandemHeart® plus ProtekDuo® to provide temporary RVAD support and preempt RVF in patients with impaired RV function.
Databáze:	MEDLINE
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