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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
[Heart transplantation and assist devices]
1Abteilung für Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule, Hannover. goerler@thg.mh-hannover.de
Insights
Heart failure patients often need advanced treatments like heart transplantation or mechanical assist devices due to high mortality. Research focuses on improving long-term outcomes and reducing complications for these critical interventions.
Area of Science:
- Cardiology and Transplant Medicine
- Biomedical Engineering
Context:
- Chronic heart failure management remains challenging, with high mortality despite therapeutic advances.
- Heart transplantation is the optimal treatment for end-stage heart disease, but organ scarcity necessitates alternative solutions.
- Mechanical assist devices are increasingly used, transitioning from experimental to routine procedures.
Purpose:
- To investigate long-term complications and optimize immunosuppressive strategies following cardiac transplantation.
- To evaluate the efficacy of mechanical assist devices in managing end-stage heart failure.
- To improve patient quality of life in advanced heart disease treatment.
Summary:
- Current research in cardiac transplantation aims to prevent cardiac allograft vasculopathy and minimize adverse effects of immunosuppression.
- Mechanical assist device implantation faces challenges, particularly recurrent infections, limiting long-term utility.
- Ongoing studies are crucial for a comprehensive understanding and definitive judgment of assist device performance.
Impact:
- Advances in immunosuppression and device technology can enhance survival rates and quality of life for heart failure patients.
- Addressing long-term complications is vital for establishing durable and effective treatments for advanced heart disease.
- Improved outcomes for heart transplantation and mechanical assist devices will expand treatment options for a growing patient population.
Background:
Although drug therapy of patients with chronic heart failure has improved significantly over the years, mortality still remains high. At present, heart transplantation is the gold standard therapy for patients with end stage heart disease. Due to the limited number of organs, a growing number of patients require the implantation of mechanical assist devices.
Heart Transplantation:
Because of the excellent long-term survival after cardiac transplantation, current studies focus on long-term complications. The aim of these studies is the establishment of an immunosuppressive strategy that effectively prevents cardiac allograft vasculopathy in combination with a low incidence of negative side effects. Furthermore, quality of life is a major focus of current interest.
Assist Devices:
Assist device implantation has changed from an experimental to a routine procedure in several centers. Still, many problems have to be solved. Especially because of recurrent infections the long-time use of assist devices is limited. For final judgment, results of current studies have to be awaited.
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