﻿{"id":35236,"date":"2015-11-29T17:39:23","date_gmt":"2015-11-29T16:39:23","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35236"},"modified":"2015-11-29T17:39:24","modified_gmt":"2015-11-29T16:39:24","slug":"right-ventricular-assist-device-support","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/right-ventricular-assist-device-support\/","title":{"rendered":"Right ventricular recovery induced by temporary right ventricular assist device support"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Right ventricular recovery induced by temporary right ventricular assist device support <\/strong><\/h1>\n<p style=\"text-align: justify;\">Stepanenko, Alexander (1)<\/p>\n<p style=\"text-align: justify;\">Deutsches Herzzentrum Berlin (1)<\/p>\n<p style=\"text-align: justify;\">BACKGROUND: Potential for right ventricular (RV) myocardial recovery induced by mechanical assistance and exact guidelines for right ventricular assist device (RVAD) weaning are still challenging.<\/p>\n<p style=\"text-align: justify;\">METHODS: Between 01\/2008 and 10\/2013 a total of 584 LVAD were implanted. Of them 69 patients required implantation of a temporary RVAD (Thoratec\u00ae CentriMag\u00ae) for treatment of RV failure after the initiation of support. RVAD patients were retrospectively evaluated.<\/p>\n<p style=\"text-align: justify;\">RESULTS: Thirty-three patients on RVAD reached candidacy for weaning after a median of 6 days (range 1-36) of full RVAD support. Four of them were non-weanable and were bridged to heart transplantation (n=1) or implantable RVAD (n=3). In 2 patients weaning was interrupted due to onset of sepsis and late tamponade (both died on RVAD after 25 and 39 days). RVAD-weaned patients (n=27) required a median support duration of 20 days (range 3-65). At last follow-up LVAD outpatients (n=19, 13.2\u00b15.3 months, cumulative support 25 patient\/years) showed stable right ventricular function.<\/p>\n<p style=\"text-align: justify;\">CONCLUSION: The outcomes of patients who require temporary RVAD after LVAD insertion are still unsatisfactory.<\/p>\n<p style=\"text-align: justify;\">However, once patients in our study had reached weaning candidacy, the procedural success rate rose to 90% with RV myocardial recovery allowing weaning of over 80% and discharge home in 57%.<\/p>\n<p style=\"text-align: justify;\">COMUNICACIONES ORALES. ORAL \u2013 10<\/p>\n<p style=\"text-align: justify;\">XIII CONGRESO DE LA SOCIEDAD ANDALUZA DE CIRUG\u00cdA CARDIOVASCULAR (SACCV). Granada, 24, 25 y 26 de Septiembre de 2015<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Right ventricular recovery induced by temporary right ventricular assist device support Stepanenko, Alexander (1) Deutsches Herzzentrum Berlin (1) BACKGROUND: Potential for right ventricular (RV) myocardial recovery induced by mechanical assistance and exact guidelines for right ventricular assist device (RVAD) weaning are still challenging. METHODS: Between 01\/2008 and 10\/2013 a total of 584 LVAD were implanted. &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Right ventricular recovery induced by temporary right ventricular assist device support\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/right-ventricular-assist-device-support\/#more-35236\" aria-label=\"Leer m\u00e1s sobre Right ventricular recovery induced by temporary right ventricular assist device support\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-35236","post","type-post","status-publish","format-standard","hentry","category-cirugia-cardiovascular","no-featured-image-padding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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