Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®

Hospitalization and death due to heart failure and cardiogenic shock is frequent and currently is increasing among the adult population. Although cardiac transplantation is the most effective treatment in patients with end-stage heart failure, its availability is limited. While waiting for transplan...

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Autores principales: Castro G,Pablo, Baraona R,Fernando, Baeza P,Cristian, Mc-Nab M,Paul, Berlin R,Alejandro, Zalaquett S,Ricardo, Morán V,Sergio, Becker R,Pedro, Irarrázabal Ll,Manuel, Garayar P,Bernardita, Carvajal T,Mario, Cisternas Y,Sergio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000800011
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spelling oai:scielo:S0034-988720060008000112014-01-23Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®Castro G,PabloBaraona R,FernandoBaeza P,CristianMc-Nab M,PaulBerlin R,AlejandroZalaquett S,RicardoMorán V,SergioBecker R,PedroIrarrázabal Ll,ManuelGarayar P,BernarditaCarvajal T,MarioCisternas Y,Sergio Heart failure, congestive Heart transplantation Shock, cardiogenic Hospitalization and death due to heart failure and cardiogenic shock is frequent and currently is increasing among the adult population. Although cardiac transplantation is the most effective treatment in patients with end-stage heart failure, its availability is limited. While waiting for transplantation, some patients become refractory to treatment and deteriorate progressively. Secondary multi-organ damage could highly compromise the transplant success and also could contraindicate it. Mechanical ventricular assist devices allow reestablishing normal cardiac output and they have been used as a bridge to recovery and transplantation. We report four patients that underwent mechanical ventricular support using the ABIOMED BVS 5000® system as a bridge for transplantation. Two patients were connected to biventricular assistance; a third patient was connected to a left ventricular support and the fourth to a right ventricular support. Three were successfully transplanted and one died of refractory non-cardiogenic shock. There were no complications related to the support system, such as infection, hemorrhage or stroke. In our experience, the ABIOMED BVS 5000® was an effective strategy as a bridge to heart transplant in patients in cardiogenic shock (Rev Méd Chile 2006; 134: 1019-23).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.8 20062006-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000800011es10.4067/S0034-98872006000800011
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Heart failure, congestive
Heart transplantation
Shock, cardiogenic
spellingShingle Heart failure, congestive
Heart transplantation
Shock, cardiogenic
Castro G,Pablo
Baraona R,Fernando
Baeza P,Cristian
Mc-Nab M,Paul
Berlin R,Alejandro
Zalaquett S,Ricardo
Morán V,Sergio
Becker R,Pedro
Irarrázabal Ll,Manuel
Garayar P,Bernardita
Carvajal T,Mario
Cisternas Y,Sergio
Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
description Hospitalization and death due to heart failure and cardiogenic shock is frequent and currently is increasing among the adult population. Although cardiac transplantation is the most effective treatment in patients with end-stage heart failure, its availability is limited. While waiting for transplantation, some patients become refractory to treatment and deteriorate progressively. Secondary multi-organ damage could highly compromise the transplant success and also could contraindicate it. Mechanical ventricular assist devices allow reestablishing normal cardiac output and they have been used as a bridge to recovery and transplantation. We report four patients that underwent mechanical ventricular support using the ABIOMED BVS 5000® system as a bridge for transplantation. Two patients were connected to biventricular assistance; a third patient was connected to a left ventricular support and the fourth to a right ventricular support. Three were successfully transplanted and one died of refractory non-cardiogenic shock. There were no complications related to the support system, such as infection, hemorrhage or stroke. In our experience, the ABIOMED BVS 5000® was an effective strategy as a bridge to heart transplant in patients in cardiogenic shock (Rev Méd Chile 2006; 134: 1019-23).
author Castro G,Pablo
Baraona R,Fernando
Baeza P,Cristian
Mc-Nab M,Paul
Berlin R,Alejandro
Zalaquett S,Ricardo
Morán V,Sergio
Becker R,Pedro
Irarrázabal Ll,Manuel
Garayar P,Bernardita
Carvajal T,Mario
Cisternas Y,Sergio
author_facet Castro G,Pablo
Baraona R,Fernando
Baeza P,Cristian
Mc-Nab M,Paul
Berlin R,Alejandro
Zalaquett S,Ricardo
Morán V,Sergio
Becker R,Pedro
Irarrázabal Ll,Manuel
Garayar P,Bernardita
Carvajal T,Mario
Cisternas Y,Sergio
author_sort Castro G,Pablo
title Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
title_short Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
title_full Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
title_fullStr Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
title_full_unstemmed Asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: Experiencia preliminar en Chile con ABIOMED BVS 5000®
title_sort asistencia ventricular mecánica como puente al trasplante en pacientes en shock cardiogénico: experiencia preliminar en chile con abiomed bvs 5000®
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000800011
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