Impact of Mechanical Circulatory Support on Posttransplant Outcomes

被引：6
|
作者：
Dardas, Todd F. [1 ]
机构：
[1] Univ Washington, Dept Med, 1959 Northeast Pacific St,Box 356422, Seattle, WA 98195 USA
来源：
CARDIOLOGY CLINICS | 2018年 / 36卷 / 04期
关键词：
Heart transplant; Mechanical circulatory support; Temporary circulatory support; Artificial heart; Survival; Risk factors; Health utility; VENTRICULAR ASSIST DEVICE; TOTAL ARTIFICIAL-HEART; CONTINUOUS-FLOW; CARDIAC TRANSPLANTATION; VASOPLEGIC SYNDROME; METHYLENE-BLUE; UNITED NETWORK; INTERNATIONAL SOCIETY; LUNG TRANSPLANTATION; CLINICAL-EXPERIENCE;
D O I：
10.1016/j.ccl.2018.06.009
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Mechanical circulatory support (MCS) has markedly improved the likelihood of transplant among patients with advanced heart failure. Transplant survival following MCS is similar for supported and unsupported recipients. Transplant survival is only reduced following left ventricle assist device (LVAD) support complicated by infection, total artificial heart support, and extracorporeal life support. Despite allosensitization and a higher incidence of vasoplegia syndrome, posttransplant survival for durable LVADs is similar to patients with inotropes alone at the time of transplant. MCS as a bridge to transplant offers significant benefits over waiting without support.
引用
收藏
页码：551 / +
页数：11
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