Assistência circulatória mecânica: uma grande lacuna na cirurgia cardíaca brasileira

Moreira, Luíz Felipe Pinho; Benício, Anderson

doi:10.1590/s0102-76382010000400005

Cited by 6 publications

(3 citation statements)

References 22 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Short-term mechanical circulatory supports (MCS) such as extracorporeal membrane oxygenation (ECMO) and centrifugal pumps, CentriMag (Thoratec Corporation, Pleasanton, CA, USA), PediMag (Thoratec Corporation), and Rotaflow (Maquet - Getinge Group, Rastatt, Germany), have been used in an attempt to maintain hemodynamic support in ideal conditions, improving the clinical conditions of patients awaiting HTX. In our clinical setting, due to the financial difficulties faced by the health system, we have used MCS in selected and sporadic cases 3 . ECMO can be used with a certain degree of safety, but it negatively interferes with transplant results when used for periods surpassing 15 days.…”

Section: Introductionmentioning

confidence: 99%

Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplantation

Canêo¹,

Miana²,

Tanamati³

et al. 2014

Arquivos Brasileiros De Cardiologia

View full text Add to dashboard Cite

BackgroundHeart transplantation is considered the gold standard therapy for the advanced heart failure, but donor shortage, especially in pediatric patients, is the main limitation for this procedure, so most sick patients die while waiting for the procedure.ObjectiveTo evaluate the use of short-term circulatory support as a bridge to transplantation in end-stage cardiomyopathy.MethodsRetrospective clinical study. Between January 2011 and December 2013, 40 patients with cardiomyopathy were admitted in our Pediatric Intensive Care Unit, with a mean age of 4.5 years. Twenty patients evolved during hospitalization with clinical deterioration and were classified as Intermacs 1 and 2. One patient died within 24 hours and 19 could be stabilized and were listed. They were divided into 2 groups: A, clinical support alone and B, implantation of short-term circulatory support as bridge to transplantation additionally to clinical therapy.ResultsWe used short-term mechanical circulatory support as a bridge to transplantation in 9. In group A (n=10), eight died waiting and 2 patients (20%) were transplanted, but none was discharged. In group B (n=9), 6 patients (66.7%) were transplanted and three were discharged.The mean support time was 21,8 days (6 to 984h). The mean transplant waiting list time was 33,8 days. Renal failure and sepsis were the main complication and causeof death in group A while neurologic complications were more prevalent en group B.ConclusionMechanical circulatory support increases survival on the pediatric heart transplantation waiting list in patients classified as Intermacs 1 and 2.

show abstract

Section: Introductionmentioning

confidence: 99%

Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplantation

Canêo¹,

Miana²,

Tanamati³

et al. 2014

Arquivos Brasileiros De Cardiologia

View full text Add to dashboard Cite

show abstract

“…This prompted the conception of a Circulatory Assist Device (CAD). These devices, which are analogous to a human heart, are today a key component of the therapeutic support for patients in cardiogenic shock or end-stage heart failure [ 4 , 5 ] .…”

Section: Introductionmentioning

confidence: 99%

Biocompatibility of Ricinus communis polymer with addition of calcium carbonate compared to titanium. Experimental study in guinea pigs

Graça¹,

Opolski²,

Barboza³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

ObjectiveThe aim of the present investigation was to determine whether the difference in inflammatory tissue reaction between the Riccinus communis (castor) polymer with calcium carbonate and the titanium implant is statistically significant.MethodsThirty-two Cavia porcellus were allocated into four groups of eight animals each. We implanted the two types of materials in the retroperitoneal space of all the animals. They were euthanized at 7, 20, 30 and 40 days after surgery, and an histological study of the samples was conducted.ResultsAll implants showed characteristics of chronic inflammation regardless of the material and timepoint of evaluation. There was no statistically significant difference between Pm+CaCO3 and Ti with regard to the presence of granulation tissue, tissue congestion, histiocytes, lymphocytes, neutrophils, giant cells, and fibrosis (P> 0.05).ConclusionThe castor oil polymer plus calcium carbonate implant was not statistically different from the titanium implant regarding inflammatory tissue reaction.

show abstract

“…Os dispositivos de assistência ventricular, recentemente, tornaram-se parte fundamental do arsenal terapêutico no tratamento do choque cardiogênico e na manutenção do suporte circulatório de pacientes com insuficiência cardíaca terminal 25,26 . O emprego desses dispositivos tem sido indicado como ponte para o transplante cardíaco, como suporte para a recuperação do coração no infarto agudo do miocárdio e no pós-operatório de cirurgia cardíaca 27,28 .…”

Section: Dispositivo De Assistência Ventricular (Dav)unclassified

Caracterização do poliuretano derivado de óleo vegetal para confecção de dispositivo de assistência ventricular

Carvalho¹

View full text Add to dashboard Cite

show abstract

Assistência circulatória mecânica: uma grande lacuna na cirurgia cardíaca brasileira

Cited by 6 publications

References 22 publications

Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplantation

Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplantation

Biocompatibility of Ricinus communis polymer with addition of calcium carbonate compared to titanium. Experimental study in guinea pigs

Caracterização do poliuretano derivado de óleo vegetal para confecção de dispositivo de assistência ventricular

Contact Info

Product

Resources

About