TITLE

Mechanical circulatory support: state of the art and future perspectives

AUTHOR(S)
Wheeldon, D.R.
PUB. DATE
July 2003
SOURCE
Perfusion;Jul2003, Vol. 18 Issue 4, p159
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Mechanical circulatory support (MCS) has been viewed, until recently, as a rescue therapy to be applied when all else fails. Not surprisingly, this has resulted in suboptimal outcomes. Fortunately, the perseverance of a few dedicated groups has produced improved outcomes and the concept of MCS as an elective therapy is now steadily gaining acceptance. This is particularly true in the postcardiotomy setting, where a large number of new options are now available. The recently completed REMATCH study has demonstrated the feasibility and efficacy of permanent MCS as a therapy for end-stage heart failure, despite a high rate of device complications. Donor availability is decreasing and biological solutions will not be available for many years. New generation implantable rotary pumps, a fully implantable left ventricular assist device and a total artificial heart are all undergoing clinical evaluation, and several new exciting designs are in preclinical evaluation. A new paradigm for the treatment of terminal heart failure is emerging, where an unpredictable and expensive medically managed death in an intensive care unit setting is being exchanged for a more predictable high-cost, front-loaded therapy with management from the outpatient clinic. The perfusionist community has much to contribute to this emerging life support field, not only in the perioperative period, but also in providing ongoing technical support to hospital staff, recipients and their families.
ACCESSION #
10945329

 

Related Articles

  • Sweden's Uppsala University and IBM jointly develop a...  // R&D Magazine;Mar96, Vol. 38 Issue 4, p28 

    Reports that Jan-Olof Forsell and Carl Englund, of Uppsala University, Sweden, and IBM, have developed a rotary system called Scienta SES 200, for detecting photoelectrons. Comments from Forsell.

  • Book review.  // Applied Physiology, Nutrition & Metabolism;Nov2013, Vol. 38 Issue 11, p1178 

    The article reviews the book "Introduction to Cardiopulmonary Testing" edited by A. M. Luks, R. W. Glenny and H. T. Robertson.

  • BILIARY MANOMETRIC PERFUSION TEST IN THE EVALUATION OF BENIGN BILIARY STRICTURE TREATMENT - A CASE REPORT. Thomas, Rohit Philips; K√∂cher, Martin; Cerna, Marie; Kozak, Jiri; Havlik, Roman // Biomedical Papers of the Medical Faculty of Palacky University i;2008, Vol. 152 Issue 2, p293 

    Background: Benign biliary strictures treated radiologically by percutaneous dilatation treatment are usually evaluated by 'clinical test'. For objective evaluation of treatment success, measurement of the pressure inside the biliary tree has been proposed. Aim: The aim of this article is to...

  • Apv crepaco.  // Dairy Foods;Mid-Oct97, Vol. 98 Issue 11, p62 

    Presents information on centrifugal and rotary pumps which APV Fluid Handling will be exhibiting at World Food Expo 1997. Name of these pumps; Features of the pumps; Indication that APV Tanks and Fabricated Products will feature mixing and blending technologies.

  • Critical review of current left ventricular assist devices. Mahmood, A.; Courtney, J.; Westaby, S.; Akdis, M.; Reul, H. // Perfusion;Sep2000, Vol. 15 Issue 5, p399 

    Presents a study which focused on the effects of using the left ventricular assist device (LVAD) in the mortality rate of heart transplantation candidates. Factors affecting the impact of LVADs; Reasons for implanting the device within the thoracic cavity; Benefits of rotary pumps; Problem...

  • The new role of the perfusionist in adult extracorporeal life support. McCoach, Robert M.; Baer, Larry D.; Wise, Robert K.; Woitas, Karl R.; Palanzo, David A.; Pae Jr., Walter E.; El Banayosy, Aly // Perfusion;Jan2010, Vol. 25 Issue 1, p21 

    Adult and pediatric extracorporeal life support (ECLS) has been transformed by the European1 and Australian2 experiences with a reduction of the circuit to its most basic form (Figure 1). Many factors have converged at this point in time to allow us to offer this support. The availability in the...

  • Kelln Solar Roto Pump.  // Solar Today;Jan/Feb2003, Vol. 17 Issue 1, p51 

    Details the Roto Pump rotary vane pump from Kelln Solar. Estimated delivery capacity; Applications; Contact information.

  • New lobe pumps carry old name.  // Process Engineering;Dec2002 Supplement, Vol. 83 Issue 12, p5 

    Features the rotary lobe pumps from Alfa Laval Pumps Inc. Product description; Features of the pumps; Contact information.

  • Pump helps lower plant's maintenance costs.  // WaterWorld;Nov/Dec96, Vol. 12 Issue 10, p46 

    Focuses on the use of Waukesha's Model SP 65 sealless hosepump at the Springettsbury Township wastewater treatment facility in York, Pennsylvania. Pump application challenges at the plant.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics