Combining nonpharmacologic therapies for advanced heart failure: the münster experience with the assist device–defibrillator combination
Implantable cardioverter defibrillators (ICDs) and ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation. In selected patients, the combined implantation may be required. This study was motivated by a case of a 33-year-old female patient with giant cell myocarditis...
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Published in | The American journal of cardiology Vol. 83; no. 5; pp. 158 - 160 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
New York, NY
Elsevier Inc
11.03.1999
Elsevier Elsevier Limited |
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Abstract | Implantable cardioverter defibrillators (ICDs) and ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation. In selected patients, the combined implantation may be required. This study was motivated by a case of a 33-year-old female patient with giant cell myocarditis who died of ventricular tachyarrhythmias after having been placed on a VAD with which she had been treated on an out-of-hospital basis for a prolonged period of time. A subsequent retrospective analysis of our data showed that, of 73 patients who had to be bridged mechanically (54 Novacor, 12 TCI Heartmate, 4 Thoratec, 3 Medos) in our institution between 1993 and 1998, 10 patients had undergone defibrillator implantation either before (n = 8) or after (n = 2) implantation of a VAD. The cases are presented, and the feasibility of the combination therapy discussed. |
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AbstractList | Implantable cardioverter defibrillators (ICDs) and ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation. In selected patients, the combined implantation may be required. This study was motivated by a case of a 33-year-old female patient with giant cell myocarditis who died of ventricular tachyarrhythmias after having been placed on a VAD with which she had been treated on an out-of-hospital basis for a prolonged period of time. A subsequent retrospective analysis of our data showed that, of 73 patients who had to be bridged mechanically (54 Novacor, 12 TCI Heartmate, 4 Thoratec, 3 Medos) in our institution between 1993 and 1998, 10 patients had undergone defibrillator implantation either before (n = 8) or after (n = 2) implantation of a VAD. The cases are presented, and the feasibility of the combination therapy discussed. Implantable cardioverter defibrillators (ICDs) and ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation. In selected patients, the combined implantation may be required. |
Author | Asfour, Boulos Deng, Mario C Baba, Hideo A Breithardt, Günter Loick, Heinz Michael Gradaus, Rainer Hammel, Dieter Tjan, Tonny D.T Böcker, Dirk Scheld, Hans H Borggrefe, Martin |
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Cites_doi | 10.1016/S0002-8703(98)70257-1 10.1056/NEJM199811193392107 10.1111/j.1540-8159.1995.tb02573.x 10.1016/S0735-1097(97)00361-6 10.1016/0003-4975(94)00885-B 10.1161/01.CIR.98.16.1636 10.1111/j.1540-8159.1991.tb02889.x 10.1016/0167-5273(95)02344-V 10.1093/oxfordjournals.eurheartj.a015074 10.1016/S0003-4975(97)00735-2 10.1016/S0002-8703(98)70252-2 10.1055/s-2007-1011987 |
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Keywords | Human Heart failure Intensive cardiocirculatory care Cardiocirculatory support Instrumentation therapy Cardiovascular disease Instrumentation Case study Treatment Implanted Heart disease Auxiliary ventricule Advanced stage Technique Defibrillation Defibrillator |
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204 issue: suppl year: 1998 ident: 10.1016/S0002-9149(98)01018-2_BIB1 article-title: Clinical definition and epidemiology of advanced heart failure publication-title: Am J Cardiol contributor: fullname: Adams – volume: 135 start-page: S216 issue: suppl year: 1998 ident: 10.1016/S0002-9149(98)01018-2_BIB3 article-title: The pathophysiology of advanced heart failure publication-title: Am Heart J doi: 10.1016/S0002-8703(98)70252-2 contributor: fullname: Baig – volume: 44 start-page: 62 year: 1996 ident: 10.1016/S0002-9149(98)01018-2_BIB16 article-title: Beating heart implantation of a wearable Novacor left-ventricular assist device publication-title: Thorac Cardiovasc Surg doi: 10.1055/s-2007-1011987 contributor: fullname: Scheld |
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Snippet | Implantable cardioverter defibrillators (ICDs) and ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation. In selected... |
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SubjectTerms | Adult Biological and medical sciences Cardiology. Vascular system Clinical trials Combined Modality Therapy Death, Sudden, Cardiac - prevention & control Defibrillators, Implantable Female Germany Heart Heart failure Heart Failure - etiology Heart Failure - mortality Heart Failure - therapy Heart failure, cardiogenic pulmonary edema, cardiac enlargement Heart Transplantation Heart-Assist Devices Humans Male Medical sciences Middle Aged Retrospective Studies Survival Rate Therapy Transplants & implants Waiting Lists |
Title | Combining nonpharmacologic therapies for advanced heart failure: the münster experience with the assist device–defibrillator combination |
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