Bridging-to-recovery

Hetzer, Roland; Müller, Johannes; Weng, Yuguo; Meyer, Rudolf; Dandel, Michael

doi:10.1016/s0003-4975(00)02638-2

Cited by 116 publications

(77 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,5,12 In our series, 3 VAD explant patients had no recurrence of heart failure 667, 752, and 1007 days after explant, respectively. However, our weaning protocol evaluates only acute deterioration before explant.…”

Section: Discussionmentioning

confidence: 54%

To Explant or Not to Explant: An Invasive and Noninvasive Monitoring Protocol to Determine the Need of Continued Ventricular Assist Device Support

Osaki¹,

Sweitzer

Rahko

et al. 2009

Congestive Heart Failure

View full text Add to dashboard Cite

Predictors of myocardial recovery after ventricular assist device (VAD) implantation are not well defined. The authors report their current VAD weaning protocol. Between 2003 and 2006, 38 patients received VAD implants. The authors performed 5 tests in 4 patients in whom echocardiography findings suggested myocardial recovery after implant. The protocol consists of assessing symptoms, electrocardiographic findings, hemodynamics, and cardiac function at baseline and as VAD support is weaned. As a result, 3 patients passed the weaning protocol and were explanted. There has been no recurrence of heart failure 667, 752, and 1007 days after explant, respectively. One patient failed the protocol after 151 days of support because of low cardiac index during the protocol. This patient was transplanted. This current experience of VAD weaning protocol is a novel tool to identify candidates for successful VAD explantation.

show abstract

Section: Discussionmentioning

confidence: 54%

To Explant or Not to Explant: An Invasive and Noninvasive Monitoring Protocol to Determine the Need of Continued Ventricular Assist Device Support

Osaki¹,

Sweitzer

Rahko

et al. 2009

Congestive Heart Failure

View full text Add to dashboard Cite

show abstract

“…The largest reports of weaning and removal from chronic LVAD support suggest as parameters indicative of myocardial recovery a left ventricular ejection fraction ≥40% and a left ventricular end diastolic diameter (LVEDD) inferior to 55-60mm [45]. Other echocardiographic variables indicative of left myocardial recovery may be considered the fractional area change > 40%, and the improved ventricular contractility.…”

Section: Recovery and Weaningmentioning

confidence: 99%

Echocardiography and Hemodynamic Monitoring Tools for Clinical Assessment of Patients on Mechanical Circulatory Support

Scolletta¹,

Biagioli²,

Franchi³

et al. 2013

Recent Advances in the Field of Ventricular Assist Devices

View full text Add to dashboard Cite

“…However, several medical centers have reported instances in which BTT patients have recovered function of their heart while waiting for a transplant; many of these patients were able to be weaned from VAD support and remain device/transplant free [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Recovery in BTT patients is a promising option; the patient is able to forego a transplant altogether, thereby avoiding the long-term complications associated with transplantation and opening up the availability of the organ for another patient on the waiting list.…”

Section: Bridge To Recoverymentioning

confidence: 99%

“…In 2001, the Berlin Heart Center reported VAD weaning of 28 BTT patients [13]. Columbia Presbyterian has reported VAD weaning in 3 BTT patients [24,25].…”

Section: 232mentioning

confidence: 99%

“…Although studies of myocardial function in VAD patients suggest that the native heart can mend itself after CHF and that VAD support appears to play a large role in the recovery process, the clinical significance of these findings must be better understood; it remains unclear why some patients exhibit recovery while others do not and if myocardial recovery can be sustained in the long-term. Furthermore, from the limited clinical experience with VAD weaning, it is evident that few centers regularly screen for recovery and protocols for assessing recovery vary across the board-indicating a lack of consensus regarding markers (or predictors) of recovery [13]. Although some centers claim to have found reliable markers of recovery, it is important to realize that, due to selection bias, these markers may not be applicable at other centers.…”

Section: 232mentioning

confidence: 99%

See 1 more Smart Citation

Clinical Decision Support System for Optimal Vad Weaning

et al. 2005

View full text Add to dashboard Cite

The hybrid model, consisting of a 21-parameter health screening and a 3-tier evaluation of cardiac recovery, was the best predictor of outcome, predicting 90% true weans, 100% true transplants, 0% false weans and 10% false transplants. By objectively combing knowledge from experts and data, this study illustrates how a CDSS can facilitate the decision making processes for identifying VAD weaning candidates and promote responsible and widespread use of VADs for cardiac rehabilitation.iv

show abstract

Bridging-to-recovery

Cited by 116 publications

References 10 publications

To Explant or Not to Explant: An Invasive and Noninvasive Monitoring Protocol to Determine the Need of Continued Ventricular Assist Device Support

To Explant or Not to Explant: An Invasive and Noninvasive Monitoring Protocol to Determine the Need of Continued Ventricular Assist Device Support

Echocardiography and Hemodynamic Monitoring Tools for Clinical Assessment of Patients on Mechanical Circulatory Support

Clinical Decision Support System for Optimal Vad Weaning

Contact Info

Product

Resources

About