TAILIEUCHUNG - Báo cáo y học: "Acute and critically ill peripartum cardiomyopathy and ‘bridge to’ therapeutic options: a single center experience with intra-aortic balloon pump, extra corporeal membrane oxygenation and continuous-flow left ventricular assist devices"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute and critically ill peripartum cardiomyopathy and ‘bridge to’ therapeutic options: a single center experience with intra-aortic balloon pump, extra corporeal membrane oxygenation and continuous-flow left ventricular assist devices. | Gevaert et al. Critical Care 2011 15 R93 http content 15 2 R93 KS CRITICAL CARE RESEARCH Open Access Acute and critically ill peripartum cardiomyopathy and bridge to therapeutic options a single center experience with intra-aortic balloon pump extra corporeal membrane oxygenation and continuous-flow left ventricular assist devices 1 2 3 4 2 Sofie Gevaert Yves Van Belleghem Stefaan Bouchez Ingrid Herck Filip De Somer Yasmina De Block Fiona Tromp1 Els Vandecasteele1 Floor Martens4 Michel De Pauw1 Abstract Introduction Peripartum cardiomyopathy PPCM patients refractory to medical therapy and intra-aortic balloon pump IABP counterpulsation or in whom weaning from these therapies is impossible are candidates for a left ventricular assist device LVAD as a bridge to recovery or transplant. Continuous-flow LVADs are smaller have a better long-term durability and are associated with better outcomes. Extra corporeal membrane oxygenation ECMO can be used as a temporary support in patients with refractory cardiogenic shock. The aim of this study was to evaluate the efficacy and safety of mechanical support in acute and critically ill PPCM patients. Methods This was a retrospective search of the patient database of the Ghent University hospital 2000 to 2010 . Results Six PPCM-patients were treated with mechanical support. Three patients presented in the postpartum period and three patients at the end of pregnancy. All were treated with IABP the duration of IABP support ranged from 1 to 13 days. An ECMO was inserted in one patient who presented with cardiogenic shock multiple organ dysfunction syndrome and a stillborn baby. Two patients showed partial recovery and could be weaned off the IABP. Four patients were implanted with a continuous-flow LVAD HeartMate II Thoratec Inc. including the ECMO-patient. Three LVAD patients were successfully transplanted 78 126 and 360 days after LVAD implant one patient is still on the transplant waiting list. We observed one .

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