[Patient selection for left ventricular assist device implantation. The main problems].

Autor:	Narusov OY; Chazov National Medical Research Center of Cardiology., Shahramanova JA; Chazov National Medical Research Center of Cardiology., Amanatova VA; Chazov National Medical Research Center of Cardiology., Sychev AV; Chazov National Medical Research Center of Cardiology., Osmolovskaya YF; Chazov National Medical Research Center of Cardiology., Ganaev KG; Chazov National Medical Research Center of Cardiology., Shiryaev AA; Chazov National Medical Research Center of Cardiology., Merkulova IA; Chazov National Medical Research Center of Cardiology., Pevzner DV; Chazov National Medical Research Center of Cardiology., Makeev MI; Chazov National Medical Research Center of Cardiology., Saidova MA; Chazov National Medical Research Center of Cardiology., Paleev FN; Chazov National Medical Research Center of Cardiology., Akchurin RS; Chazov National Medical Research Center of Cardiology., Tereshchenko SN; Chazov National Medical Research Center of Cardiology., Boytsov SA; Chazov National Medical Research Center of Cardiology.
Jazyk:	ruština
Zdroj:	Terapevticheskii arkhiv [Ter Arkh] 2024 Oct 10; Vol. 96 (9), pp. 885-891. Date of Electronic Publication: 2024 Oct 10.
DOI:	10.26442/00403660.2024.09.202851
Abstrakt:	Aim: To analyze the experience of Chazov National Medical Research Center of Cardiology in patient selection for left ventricular assist device (LVAD) implantation. Materials and Methods: 901 patients, whose documents were sent to Chazov National Medical Research Center of Cardiology from regional medical and prophylactic institutions, were screened as selection for LVAD implantation. Firstly, all patients underwent transthoracic echocardiography performed according to the extended protocol with a comprehensive assessment of the left and right ventricle size and function. Patients who underwent the screening procedure underwent further examination including both laboratory and instrumental diagnostic methods. In addition, the polyclinic database of patients diagnosed with chronic heart failure (CHF) and dilated cardiomyopathy was also analyzed. Results: Among 901 screened patients 7.9% were suitable candidates for LVAD implantation and only 23 (2.6%) patients underwent surgery. Among those not eligible for surgery: 208 (29%) patients were not on optimal medical therapy, 15% of patients had indications for other surgical treatment of CHF, 12% of patients had severe right ventricular failure, 9.8% had severe comorbidities, 6.8% of patients refused surgery. Conclusions: The main problems of selection for LVAD implantation were: low awareness of doctors about the introduction of new treatment methods, poor quality of transthoracic echocardiography, a large percentage of patients not receiving basic therapy for CHF, untimely referral of patients for other types of surgical treatment.
Databáze:	MEDLINE
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