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Clinical Indications for the Use of the “Poisk–IOM” Total Artificial Heart: The Experience of 13 Implantations in Humans
Author(s) -
Shumakov Valeriy,
Zimin Nikolay,
Kazakov Eduard,
Kormer Arkadiy,
Vorontsov Sergey,
Nikolaenko Eduard,
Kozlov Igor,
Drobyshev Alexander
Publication year - 1991
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.1991.tb00745.x
Subject(s) - artificial heart , medicine , surgery , heart transplantation , waiting list , bridge to transplantation , heart failure , transplantation , bridge (graph theory) , cardiology
Success of total artificial heart (TAH) implantation as a temporary measure depends on three factors: proper patient selection, adequate surgical technique, and safe cardiac prostheses. From 1986 until March 1990, 237 patients with stagnant heart failure were examined. Sixty–one patients (27%) were put on a waiting list. Thirty–eight percent of them died awaiting transplantation. Thirteen TAH implantations were performed; nine patients who were not on a waiting list underwent TAH implantation by urgent indications. Four other patients underwent bridge TAH implantation after cardiac surgery. Our experience shows that the status of a patient before transplantation is a determinant factor and that it is possible to perform TAH implantation only in patients on a waiting list.