Ventricular Assist System

Accession number;05A0562670
Title;Ventricular Assist System
Author; NAKATANI TAKESHI (National Cardiovascular Center, Hospital, JPN) HANATANI AKIHISA (National Cardiovascular Center, Hospital, JPN)
Journal Title;Japanese Journal of Intensive Care Medicine
Journal Code:Z0581B
ISSN:0389-1194
VOL.29;NO.4;PAGE.265-273(2005)
Figure&Table&Reference;FIG.6, TBL.5, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;Ventricular assist system (VAS) has been developed to assist cardiac function in severe heart failure patients. Two types of VAS, extracroporeal type and implantable type, are used clinically. VAS can provide long-term support until bridge to recovery or bridge to transplantation. In selection of candidates for VAS, not only hemodynamic parameters but also major organ functions are important factors. Anticoagulation and antithrombotic therapy and prevention of infection are the key issues in patient care with VAS for long-term support. Weaned cases from LVAS and successfully transplanted bridge to transplantation cases are reported in Japanese patients and destination therapy for end-staged heart failure patients is started in western countries. New small and durable VASs are desired in clinical fields and several new VASs are in clinical trails. (author abst.)