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Potapov EV, Schweiger M, Krabatsch T. Percutaneous balloon occlusion of a left ventricular assist device outflow cannula to facilitate evaluation of myocardial recovery. J Heart Lung Transplant 2011; 30:1300-1. [PMID: 21873080 DOI: 10.1016/j.healun.2011.07.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2011] [Revised: 06/21/2011] [Accepted: 07/01/2011] [Indexed: 11/30/2022] Open
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102
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Krabatsch T, Schweiger M, Stepanenko A, Drews T, Potapov E, Vierecke J, Jurmann B, Pasic M, Weng YG, Huebler M, Hetzer R. [Technical possibilities and limitations of mechanical circulatory support]. Anasthesiol Intensivmed Notfallmed Schmerzther 2011; 46:414-21; quiz 422. [PMID: 21688231 DOI: 10.1055/s-0031-1280746] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Ventricular assist devices (VAD) to support the left (LVAD), the right (RVAD) or both ventricles (BVAD) have emerged as one standard of care for advanced heart failure patients. Initially used to bridge patients to transplantation (BTT) they are now more frequently implanted as permanent support (destination therapy, DT). Bridge to recovery (BTR) is a valid option for only a small number of patients. Although there are different devices available, patient selection, preoperative and intraoperative management, and the timing of VAD implantation are the elements critical to successful circulatory support.
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Potapov EV, Krabatsch T, Ventura HO, Hetzer R. Advances in mechanical circulatory support: Year in review. J Heart Lung Transplant 2011; 30:487-93. [DOI: 10.1016/j.healun.2011.01.703] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2010] [Revised: 12/15/2010] [Accepted: 01/10/2011] [Indexed: 01/27/2023] Open
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104
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Krabatsch T, Schweiger M, Dandel M, Stepanenko A, Drews T, Potapov E, Pasic M, Weng YG, Huebler M, Hetzer R. Is Bridge to Recovery More Likely With Pulsatile Left Ventricular Assist Devices Than With Nonpulsatile-Flow Systems? Ann Thorac Surg 2011; 91:1335-40. [PMID: 21444064 DOI: 10.1016/j.athoracsur.2011.01.027] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2010] [Revised: 01/11/2011] [Accepted: 01/13/2011] [Indexed: 11/30/2022]
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105
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Stepanenko A, Potapov E, Hennig E, Jurmann B, Kaufmann F, Dranishnikov N, Lehmkuhl H, Krabatsch T, Hetzer R. 239 Hemolysis Rate after Biventricular Centrifugal Assist Device Implantation: Retrospective Comparison between Biventricular and Left Ventricular Assist Device Recipients. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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106
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Frumkin A, Dranishnikov N, Stepanenko A, Vierecke J, Schweiger M, Potapov E, Krabatsch T, Hetzer R. 624 Similar Course of von Willebrand Factor in Recipients of Axial-Flow and Centrifugal Blood Pumps in Mid-Term Follow-Up. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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107
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Hennig F, Stepanenko A, Krabatsch T, Potapov E, Hetzer R. 472 Mechanical Circulatory Support in Restrictive Cardiomyopathy. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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108
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Stepanenko A, Loforte A, Dranishnikov N, Potapov E, Montalto A, Pasic M, Weng YG, Dandel M, Siniawski H, Kukucka M, Krabatsch T, Musumeci F, Hetzer R. 468 Temporary Right Ventricular Support in Left Ventricular Assist Device Recipients. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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109
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Dandel M, Weng Y, Stepanenko A, Krabatsch T, Potapov E, Drews T, Lehmkuhl HB, Knosalla C, Hetzer R. WEANING FROM VENTRICULAR ASSIST DEVICES AFTER MYOCARDIAL IMPROVEMENT IN PATIENTS WITH CHRONIC CARDIOMYOPATHY: FEASIBILITY AND PREDICTABILITY OF LONG-TERM SUCCESS. J Am Coll Cardiol 2011. [DOI: 10.1016/s0735-1097(11)60203-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dandel M, Stepanenko A, Potapov E, Krabatsch T, Knosalla C, Lehmkuhl H, Hetzer R. 39 Predictability of Postoperative Right Ventricular Function before Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Dandel M, Potapov E, Stepanenko A, Krabatsch T, Drews T, Lehmkuhl H, Knosalla C, Hetzer R. 34 Prediction of Weaning Success after Right Ventricular Assist Device Removal. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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112
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Dranishnikov N, Stepanenko A, Potapov E, Dandel M, Siniawski H, Weng YG, Krabatsch T, Hetzer R. 270 Simultaneous Aortic Valve Replacement in Left Ventricular Assist Device Recipients: Single-Center Experience. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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113
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Sponga S, Ivanitskaia E, Potapov E, Krabatsch T, Hetzer R, Lehmkuhl H. 649 Preoperative Treatment with Levosimendan in Candidates for Mechanical Circulatory Support. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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114
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Krabatsch T, Schweiger M, Stepanenko A, Kukucka M, Vierecke J, Lehmkuhl HB, Huebler M, Hennig E, Potapov E, Hetzer R. Mechanical Circulatory Support—Results, Developments and Trends. J Cardiovasc Transl Res 2011; 4:332-9. [PMID: 21394530 DOI: 10.1007/s12265-011-9268-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2010] [Accepted: 02/24/2011] [Indexed: 10/18/2022]
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Mikus E, Stepanenko A, Krabatsch T, Dandel M, Lehmkuhl HB, Loforte A, Hetzer R, Potapov EV. Left ventricular assist device or heart transplantation: impact of transpulmonary gradient and pulmonary vascular resistance on decision making☆. Eur J Cardiothorac Surg 2011; 39:310-6. [DOI: 10.1016/j.ejcts.2010.05.031] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2010] [Revised: 05/04/2010] [Accepted: 05/18/2010] [Indexed: 11/26/2022] Open
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Mikus E, Stepanenko A, Krabatsch T, Loforte A, Dandel M, Lehmkuhl HB, Hetzer R, Potapov EV. Reversibility of fixed pulmonary hypertension in left ventricular assist device support recipients. Eur J Cardiothorac Surg 2011; 40:971-7. [PMID: 21354812 DOI: 10.1016/j.ejcts.2011.01.019] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2010] [Revised: 01/03/2011] [Accepted: 01/04/2011] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE Conflicting data still exist concerning the reversibility of secondary severe 'fixed' pulmonary hypertension (PH) by the use of left ventricular assist device (LVAD) support in terms of time necessary to provide a bridge to 'transplantability'. METHODS We retrospectively reviewed 145 patients with heart failure and severe PH treated by LVAD support between 2000 and 2009. There were 133 men (91.7%) and 12 women (8.3%) with a mean age of 52.95±12.01 years. Patients were divided into two groups depending on preoperative PH reversibility. Fixed PH was defined by a mean pulmonary arterial pressure (mPAP) >25 mmHg, a pulmonary vascular resistance (PVR) >2.5 Wood Unit (WU) and a transpulmonary gradient (TPG) >12 mmHg, despite pharmacological treatment. RESULTS Fifty-six patients had fixed PH (group A) and 89 reversible PH (group B). Only 27 patients of group A underwent right heart catheterization evaluation during LVAD support; the remaining 29 patients had other contraindications to heart transplantation (HTx). The 27 patients were divided into three subgroups on the basis of examination time during LVAD support: <6 months (11 patients), between 6 and 12 months (six patients) and >12 months (10 patients). The mPAP, PVR, and TPG decreased significantly during LVAD support (mPAP, 37.26±6.35 mmHg vs 21.00±7.51 mmHg, p=0.007; PVR, 3.49±1.47 WU vs 1.53±0.66 WU, p=0.000; and TPG, 15.04±5.22 mmHg vs 7.78±3.21 mmHg, p=0.019). A significant reduction of all parameters was observed during the first 6 months and later on there was no further decrease. There were no significant differences between the three subgroups (mPAP, p=0.680; PVR, p=0.723; and TPG, p=0.679) in terms of time of reversibility. LVAD support allowed 19 patients to be transplanted. CONCLUSIONS Patients with fixed PH can be treated with LVAD support. Our data suggest that 6 months after LVAD implantation it is possible to observe an important reduction of PH and evaluate the potential transplantability of patients. Longer support does not add any effect of LVAD on PH.
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Stepanenko A, Potapov E, Dranishnikov N, Jurmann B, Drews T, Lehmkuhl H, Krabatsch T, Hetzer R. Rotary pump thrombus resolution under intravenous therapy with tirofiban - a reversible glycoprotein IIb/IIIa receptor inhibitor. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Stepanenko A, Jurmann B, Hennig E, Kaufmann F, Potapov E, Krabatsch T, Hetzer R. Hemolysis rate after biventricular centrifugal ventricular assist device implantation: Preliminary data of clinical study. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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119
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Dranishnikov N, Stepanenko A, Potapov E, Dandel M, Siniawski H, Weng Y, Krabatsch T, Hetzer R. Simultaneous aortic valve replacement in left ventricular assist device recipients: Single-center experience. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Schweiger M, Krabatsch T, Stepanenko A, Dandel M, Kukucka M, Potapov E, Hetzer R. Tricuspid valve repair in patients supported with left ventricular assist device. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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121
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Drews T, Krabatsch T, Potapov E, Stepanenko A, Dandel M, Lehmkuhl H, Pasic M, Hetzer R. Permanent mechanical circulatory support in non-transplant candidates. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1268997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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122
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Stepanenko A, Potapov E, Dubaev A, Jurmann B, Lehmkuhl H, Krabatsch T, Hetzer R. Impact of surgical approach on neurological adverse events: Single-center experience with HeartWare HVAD implanted via left lateral thoracotomy. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1268993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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123
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Hennig F, Stepanenko AV, Lehmkuhl HB, Kukucka M, Dandel M, Krabatsch T, Hetzer R, Potapov EV. Neurohumoral and inflammatory markers for prediction of right ventricular failure after implantation of a left ventricular assist device. Gen Thorac Cardiovasc Surg 2011; 59:19-24. [DOI: 10.1007/s11748-010-0669-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2009] [Accepted: 07/08/2010] [Indexed: 11/29/2022]
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Krabatsch T, Becher D, Schweiger M, Hetzer R. Severe left atrium compression after percutaneous coronary intervention with perforation of a circumflex branch of the left coronary artery. Interact Cardiovasc Thorac Surg 2010; 11:811-3. [DOI: 10.1510/icvts.2010.246017] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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125
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Stepanenko A, Pasic M, Potapov EV, Weng Y, Krabatsch T, Hetzer R. Accidental Intraperitoneal Tunneling of Driveline of Left Ventricular Assist Device. Ann Thorac Surg 2010; 90:1690-1. [PMID: 20971293 DOI: 10.1016/j.athoracsur.2010.04.102] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2009] [Revised: 02/23/2010] [Accepted: 04/27/2010] [Indexed: 10/18/2022]
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