Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-10-15
pubmed:abstractText
The ventricular assist device (VAD) is a life-saving option for patients in heart failure refractory for conventional therapy. The aim of study was to assess the influence of VAD on heart transplantation (HT) outcome in children <16 years. Between October 1988 and August 2008, 73 children underwent HT: Group 1 (n=9) who received VAD as bridge to HT (left ventricular - 4, biventricular - 5), and Group 2 (n=64), without previous VAD. Diagnoses included cardiomyopathy (n=50 (68.5%)) and congenital heart defects (n=23 (31.5%)). Retrospective analysis of perioperative and long-term follow-up data was performed. The mean follow-up was 7.22+/-4.7 years. The diagnosis of cardiomyopathy appeared more often in Group 1 (P=0.074), but the difference was not significant. The two groups did not differ with respect to age (P=0.123) and weight (P=0.183). Mortality in long follow-up was: 11.1% (n=1) in Group 1 and 14.1% (n=9) in Group 2 (P=0.782). Analysis of preoperative end-organs function did not reveal significant differences between groups. There was also no significant differences with respect to waiting time for transplant (P=0.948), postoperative ventilatory support time (P=0.677), duration of hospital stay (P=0.711) and incidence of acute rejection episodes (P=0.156). VAD used as a bridge for HT in children does not negatively influence the outcome.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1569-9285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
807-10
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19666650-Adolescent, pubmed-meshheading:19666650-Child, pubmed-meshheading:19666650-Child, Preschool, pubmed-meshheading:19666650-Female, pubmed-meshheading:19666650-Graft Rejection, pubmed-meshheading:19666650-Heart Failure, pubmed-meshheading:19666650-Heart Transplantation, pubmed-meshheading:19666650-Heart-Assist Devices, pubmed-meshheading:19666650-Humans, pubmed-meshheading:19666650-Infant, pubmed-meshheading:19666650-Infant, Newborn, pubmed-meshheading:19666650-Kaplan-Meier Estimate, pubmed-meshheading:19666650-Length of Stay, pubmed-meshheading:19666650-Male, pubmed-meshheading:19666650-Miniaturization, pubmed-meshheading:19666650-Prosthesis Design, pubmed-meshheading:19666650-Pulsatile Flow, pubmed-meshheading:19666650-Reoperation, pubmed-meshheading:19666650-Respiration, Artificial, pubmed-meshheading:19666650-Retrospective Studies, pubmed-meshheading:19666650-Time Factors, pubmed-meshheading:19666650-Treatment Outcome, pubmed-meshheading:19666650-Waiting Lists
pubmed:year
2009
pubmed:articleTitle
Ventricular assist device as a bridge to heart transplantation in children.
pubmed:affiliation
Department of Cardiac Surgery, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany. mijanusz@cyf-kr.edu.pl
pubmed:publicationType
Journal Article