Loisance D, Cooper G J, Deleuze P H, Castanie J B, Mazzucotelli J P, Abe Y, Bajan G, Le Besnerais P
Department of Cardiac Surgery, CHU Henri Mondor, Créteil, France.
Eur J Cardiothorac Surg. 1995;9(2):95-8. doi: 10.1016/s1010-7940(05)80026-0.
Although the outcome of patients transplanted after univentricular cardiac support is similar to that of conventional patients, death on the device remains a substantial problem. The wearable Novacor left ventricular assist system (LVAS) may offer advantages over console-based systems by improving rehabilitation before transplantation. For these advantages to be realised, however, a smooth perioperative course is necessary. We describe our operative technique, based on minimising blood loss and preserving right ventricular function, and the results in the first three patients to have the wearable Novacor LVAS implanted in this institution.
尽管接受单心室心脏支持后进行移植的患者的结局与传统患者相似,但在设备上死亡仍然是一个重大问题。可穿戴式诺华科尔左心室辅助系统(LVAS)可能通过改善移植前的康复情况,比基于控制台的系统具有优势。然而,要实现这些优势,需要一个平稳的围手术期过程。我们描述了基于尽量减少失血和保留右心室功能的手术技术,以及该机构首批三名植入可穿戴式诺华科尔LVAS患者的结果。