Indication of mechanical circulatory assistance

Over the last decade, we have seen considerable progress both in medical treatment of acute and chronic heart failure and in circulatory assist systems, including the first used aorta counter-pulse system. More sophisticated systems have been developed with specific indications recognized by special...

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Bibliographic Details
Published inChirurgie (Paris) Vol. 121; no. 9-10; p. 676
Main Authors Dubois-Randé, J L, Benvenuti, C, Pouillart, F, Le Besnerais, P, Loisance, D
Format Journal Article
LanguageFrench
Published France 01.01.1997
Subjects
Acute Disease
Assisted Circulation
Heart Failure - etiology
Heart Failure - therapy
Humans
Myocardial Infarction - complications
Myocardial Infarction - therapy
Prognosis
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Summary:Over the last decade, we have seen considerable progress both in medical treatment of acute and chronic heart failure and in circulatory assist systems, including the first used aorta counter-pulse system. More sophisticated systems have been developed with specific indications recognized by specialized teams. However, in the treatment of chronic heart failure, whether caused by idiopathic dilated cardiomyopathies or ischemic heart disease (frequently improved with coronary revascularization), the nature of the disease in patients hospitalized in intensive care units has greatly changed. There is a net tendency towards hospitalizing older patients who may no longer be reasonable candidates for transplantation. The option of circulatory assist is thus undoubtedly reasonable for these patients due to the lack of a sufficient number of donor organs.
ISSN:0001-4001