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[Advances and perspectives in mechanical heart assist]
Zeitschrift Fur Kardiologie
|December 1, 2000
Summary
Mechanical circulatory support devices, initially for permanent heart replacement, now primarily bridge patients to heart transplantation. Experience shows these devices aid organ recovery and cardiac function, with new pumps offering permanent support options.
Area of Science:
- Cardiology
- Biomedical Engineering
- Transplantation Medicine
Background:
- Mechanical circulatory support (MCS) devices were initially designed for permanent heart replacement.
- Currently, MCS devices are predominantly utilized as a bridge to heart transplantation.
- Significant experience has been accumulated regarding the use of MCS devices in this context.
Purpose of the Study:
- To present institutional experience with MCS devices since 1987.
- To detail patient selection, post-implant care, and device maintenance protocols.
- To report on a newly developed implantable axial flow pump and discuss permanent support.
Main Methods:
- Review of over 450 patient implantations at the institution.
- Analysis of data pertaining to patient selection criteria.
- Evaluation of post-implantation care and device management strategies.
Main Results:
- MCS implantation in over 450 patients since 1987.
- Demonstrated potential for recovery from secondary organ failure with MCS.
- Observed myocardial remodeling and recovery of heart function in select patients.
- Experience with a novel implantable axial flow pump.
Conclusions:
- MCS devices are crucial for bridging patients to heart transplantation.
- MCS can facilitate recovery of failing organs and cardiac function.
- Newer MCS technologies, including axial flow pumps, offer expanded support possibilities, including permanent options.