Surgical Considerations for the Explantation of the Parachute Left Ventricular Partitioning Device and the Implantation of the Heartmate Ii Left Ventricular Assist Device

Ravi, Y.; Bansal, Shelley; Rosas, Paola C; Mazzaferri, Ernest L.; Sai-Sudhakar, Chittoor

doi:10.1080/08998280.2016.11929406

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…The case report of Ravi et al 24 , in which a patient had deterioration of the functional and hemodynamic outcomes after 24 months of PARACHUTE® implantation, which led to their removal and the implantation of the ventricular assist device, has led to a debate about the efficacy time of PARACHUTE®.…”

Section: Quality Of Evidencementioning

confidence: 99%

Efficacy and Safety of PARACHUTE® Device: systematic review

Teixeira

Veras

Senna

et al. 2018

Rev. Assoc. Med. Bras.

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SUMMARY INTRODUCTION Heart failure due to an acute myocardial infarction is a very frequent event, with a tendency to increase according to improvements in the treatment of acute conditions which have led to larger numbers of infarction survivors. OBJECTIVE The aim of this study is to synthesize the evidence, through a systematic review, on efficacy and safety of the device in patients with this basic condition. METHODS Studies published between January 2002 and October 2016 were analysed, having as reference databases Embase, Medline, Cochrane Library, Lilacs, Web of Science and Scopus. The selection of studies, data extraction and methodological quality assessment of studies were examined by two independent reviewers, with disagreements resolved by consensus. RESULTS Only prospective studies without control group were identified. Six studies were included, with averages of 34 participants and follow-up of 13 months. Clinical, functional, hemodynamic and quality of life outcomes were evaluated. The highest mortality rate was 8.4% with 12-month follow-up for unspecified cardiovascular reasons, and heart failure rehospitalization was 29.4% with 36-month follow-up. Statistically significant improvements were found only in some of the studies which evaluating changes in left ventricular volume indices, the distance measured by the six-minute walk test, New York Heart Association functional classification, and quality of life, in pre and post-procedure analysis. CONCLUSIONS The present review indicates that no available quality evidence can assert efficacy and safety of PARACHUTE® in the treatment of heart failure after apical or anterior wall myocardial infarction.

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Section: Quality Of Evidencementioning

confidence: 99%

Efficacy and Safety of PARACHUTE® Device: systematic review

Teixeira

Veras

Senna

et al. 2018

Rev. Assoc. Med. Bras.

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Percutaneous Ventricular Restoration with a Partitioning Device for Ischemic Heart Failure Treatment

Dhakal

Oliveira

2017

Curr Heart Fail Rep

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PARACHUTE trials have shown >90% procedural success rate of VPD implant. Heart failure patients had improvement in hemodynamics (reduction in LV volumes and increase in LV ejection fraction) and functional status (6-min walking distance and quality of life scores) after the VPD implant. Optimal implant position is necessary to obtain a good clinical outcome. Percutaneous VPD implantation has thus far been a safe intervention capable of improving surrogate markers of heart failure but there is still a need to develop more durable devices with a long-lasting hemodynamics effect.

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A novel recyclable left ventricular partitioning device

Chen

Tan

2020

Medical Hypotheses

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Surgical Considerations for the Explantation of the Parachute Left Ventricular Partitioning Device and the Implantation of the Heartmate Ii Left Ventricular Assist Device

Cited by 4 publications

References 4 publications

Efficacy and Safety of PARACHUTE® Device: systematic review

Efficacy and Safety of PARACHUTE® Device: systematic review

Percutaneous Ventricular Restoration with a Partitioning Device for Ischemic Heart Failure Treatment

A novel recyclable left ventricular partitioning device

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