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Mid-term Outcome of HeartWare HVAD in Small Patients in Japan
https://dmu.repo.nii.ac.jp/records/2000496
https://dmu.repo.nii.ac.jp/records/200049656292e39-3d7c-4e72-a8d2-bd5d467db0f5
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DKMJ-3-4-6.pdf (577 KB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||
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| タイトル | ||||||||||||||
| タイトル | Mid-term Outcome of HeartWare HVAD in Small Patients in Japan | |||||||||||||
| 言語 | en | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | Heartware | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | Mid-term result | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | Small patients | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
| 資源タイプ | journal article | |||||||||||||
| アクセス権 | ||||||||||||||
| アクセス権 | open access | |||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||
| 著者 |
Sakashita, Yuji
× Sakashita, Yuji
× Torikai, Kei
× Miyagawa, Shigeru
× Toda, Koichi
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| 書誌情報 |
en : Dokkyo Medical Journal 巻 3, 号 4, p. 289-297, 発行日 2024-12-25 |
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| 記事種別 | ||||||||||||||
| Original | ||||||||||||||
| 内容記述 | ||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||
| 内容記述 | Objectives: We investigated the impact of cuff position on the inflow cannula direction and wedge thrombus formation during mid-term HeartWare ventricular assist device (HVAD) support in relatively small patients. Patients and Methods: Thirty-one patients, including five pediatric patients, underwent HVAD implantation between August 2011 to August 2020 in our institute. Two patients were implanted the HVAD in the true apex and other 29 patients were implanted in the posterior apex. Postoperatively, the direction of the inflow cannula was evaluated by three-dimensional computed tomography, and wedge thrombus was investigated at the time of heart transplantation. Results: The patients' average body surface area (BSA) was 1.58 ± 0.33 m2. Twenty-three had dilated cardiomyopathy and five had ischemic cardiomyopathy. Two patients required the right ventricular assist device (RVAD), and one was weaned from temporary RVAD on postoperative day 20, but another required permanent RVAD implantation using HVAD. The mean support duration was 578 ± 498 days. Fifteen patients successfully bridged to heart transplantation. The survival rate with HVAD support at 3 years was 90.2%. The angle between the inflow cannula and the posterior wall was 34.3 ± 21.6° in patients with posterior apex implantation of HVAD and 5.9 ± 10.2° in those with true apex implantation. Wedge thrombus around the inflow cannula was seen all patients with true apex implantation and one with the posterior apex (8%). Conclusion: HVAD could be safely used in small patients for mid-term support, and implantation at the posterior apex could be an important option for small patients to prevent wedge thrombus formation during LVAD support. |
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| 言語 | en | |||||||||||||
| 出版者 | ||||||||||||||
| 出版者 | Dokkyo Medical Society | |||||||||||||
| ISSN | ||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||
| 収録物識別子 | 2436-522X | |||||||||||||
| 書誌レコードID | ||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||
| 収録物識別子 | AA12941861 | |||||||||||||
| DOI | ||||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||||
| 識別子タイプ | DOI | |||||||||||||
| 関連識別子 | https://doi.org/10.51040/dkmj.2024-019 | |||||||||||||
| 出版タイプ | ||||||||||||||
| 出版タイプ | VoR | |||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||
