Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Outpatients on mechanical circulatory support.

Thorsten N H Drews1, Matthias Loebe, Michael J Jurmann

  • 1Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany. dr.drews@berlin.de

The Annals of Thoracic Surgery
|March 21, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reliable Flow, Cost-Effective, Comfortable: Tunneled Veno-Pulmonary Artery Extracorporeal Membrane Oxygenation Cannulation Technique.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same author

Bleeding and Thrombosis Associated With Microaxial Flow Percutaneous Ventricular Assist Devices in Patients With Cardiogenic Shock: A Flood of Events, a Drought of Harmonized Data.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

No New Green in Wasted Lands:Lessons From the LEVOECMO Trial.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Fluoroscopy-Free Axillary Impella 5.5 Implantation, Earlier Support With Just Transesophageal Echocardiography Images.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same author

Durable Left-Ventricular Assist Device Inflow Thrombosis Following External Outflow Graft Obstruction.

JACC. Case reports·2025
Same author

Lung Transplantation in Patients with Cystic Fibrosis: A Complex Task, A Changing Target.

Journal of cardiothoracic and vascular anesthesia·2024

Discharging patients home on mechanical circulatory support (MCS) for cardiogenic shock is safe. Outpatient MCS management showed lower mortality and acceptable readmissions compared to hospitalized patients.

Area of Science:

  • Cardiology
  • Medical Devices
  • Critical Care Medicine

Background:

  • Long waiting times for heart transplantation necessitate long-term mechanical circulatory support (MCS) for cardiogenic shock.
  • A policy for discharging patients on MCS home has been implemented to manage increasing numbers.
  • This study compares outcomes of outpatient MCS management versus continued hospitalization.

Purpose of the Study:

  • To compare the outcomes of patients discharged home on long-term mechanical circulatory support (MCS) with those remaining hospitalized.
  • To evaluate mortality, complications, and readmission rates in outpatient vs. inpatient MCS management.

Main Methods:

  • A 10-year retrospective study of 108 patients on MCS for over 3 months.
  • Group A: 38 patients discharged home (Novacor/Berlin Heart), mean support 454 days, mean 326 days at home.

Related Experiment Videos

  • Group B: 70 patients remained hospitalized (Novacor/Berlin Heart), mean support 234 days. Monitored for complications, readmissions, and causes of death.

    • Main Results:

    • Group A (outpatient) had 16% mortality vs. 43% in Group B (inpatient) (p=0.004).
    • Group A experienced 95 readmissions (2.8/patient) for various complications.
    • Group B had significantly higher systemic infection rates (p=0.04).

    Conclusions:

    • Outpatient management of mechanical circulatory support (MCS) is associated with significantly lower mortality compared to inpatient care.
    • MCS can be safely managed in outpatients, ensuring survival and enabling recovery.
    • Outpatient MCS offers an acceptable quality of life with manageable readmission rates.