Right heart failure after left ventricular assist device implantation in patients with chronic congestive heart failure

Right heart failure after left ventricular assist device implantation in patients with chronic congestive heart failure
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DOI:
10.1016/j.healun.2005.07.008
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发表时间:
2006-01-01
影响因子:
8.9
通讯作者:
Naka, Y
Naka, Y
中科院分区:
医学1区
文献类型:
--
作者:
Dang, NC;Topkara, VK;Naka, Y

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背景:右心衰竭(RHF)是左心室辅助装置(LVAD)的常见并发症。移植很少有研究结果LVAD患者随后发展RHF.Methods:108例慢性CHF(>= 6个月)谁接受HeartMate LVAD植入确定在1996年6月至2004年7月。排除需要LVAD的急性心力衰竭患者,以消除混杂非心脏因素的影响。RHF定义为需要随后使用右心室辅助装置(RVAD):14天静脉内正性肌力药物/肺血管扩张剂,或两者兼而有之。确定了42例(38.9%)RI-IF患者。其中14例需要插入RVAD。结果参数包括早期(
Background: Right heart failure (RHF) is not an infrequent complication of left ventricular assist device (LVAD) i. mplantation. Few studies have examined outcomes for LVAD patients who subsequently develop RHF.Methods: One hundred eight patients with chronic CHF (>= 6 months) who underwent HeartMate LVAD implantation were identified during June 1996 to July 2004. Acute heart failure patients requiring LVADs were excluded to eliminate the impact of confounding non-cardiac factors. RHF was defined as the need for a subsequent right ventricular assist device (RVAD), :14 days of intravenous inotropes/pulmonary vasodilators, or both. Forty-two (38.9%) RI-IF patients were identified. Fourteen of these required RVAD insertion. Outcome parameters included early (