Our heart transplantation results in cases with and without mechanical assist device Mekanik Destek Cihazi Olan ve Olmayan Olgularda Kalp Transplantasyonu Sonuçlarimiz
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.22, sa.2, ss.70-74, 2016 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 2
- Basım Tarihi: 2016
- Doi Numarası: 10.5222/gkdad.2016.074
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.70-74
- Anahtar Kelimeler: Cardiac anesthesia, Cardiac failure, Heart transplantation, Transplantation anesthesia, Ventricular assist device
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Left ventricular assist devices (LVAD) give a chance to patients with end stage heart failure to wait until a suitable heart is found for cardiac transplantation. However, transplantation procedure have some compelling conditions in patients with LVAD. In this study, we evaluated our cardiac transplantation patients with and without LVAD. Material and Methods: The medical records of the patients who had undergone transplantation without the aid of LVAD or after application of LVAD within the last 1.5 years by our hospital transplantation team were retrospectively reviewed. Data concerning type of LVAD used, time interval between implantation of LVAD and transplantation, morbidity, mortality and discharge data were obtained. Results: Ten patients who had undergone transplantation as a primary surgery and 12 patients who had undergone transplantation after implantation of LVAD were evaluated. Duration on LVAD varied between one day and one year. Five mortalities and one morbidity were detected in LVAD bridged group. All patients with primary transplantation and 7 patients with transplantation after LVAD were discharged without any complications. Discussion and Conclusion: There was a significantly higher mortality in LVAD bridged patients compare with primary transplantation group. Because of reoperation and hemolysis bleeding episodes are more frequently seen in LVAD patients. Infection rate is higher in the bridged patients due to the longer hospital stay, presence of driveline and prior cardiac surgery. Thus, increasing rates of complications because of infection and bleeding also increase rates of morbidity and mortality.