Kinetic assisted venous drainage for orthotopic heart transplantation in patients under mechanical circulatory support: a double-edged sword
Author(s) -
Matthias Kirsch,
Kostantinos Zannis,
Firas Ali,
Emmanuelle Vermès,
G. Bajan,
D Loisance
Publication year - 2008
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2007.11.022
Subject(s) - medicine , perioperative , surgery , anesthesia , heart transplantation , circulatory system , perfusion , central venous pressure , transplantation , heart rate , cardiology , blood pressure
Heart transplantation in patients supported with ventricular assist devices (VADs) entails a high risk of injury at resternotomy. Prior femorofemoral bypass is the preferred approach in these patients, but poor venous drainage may restrict arterial flow rate.
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