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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Sociedad Médica de Santiago
2006
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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 |
work_keys_str_mv |
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