Rana klinička iskustva sa dugoročnom potporom (Heart Mate II)

Left ventricular assist systems (LVAS) are widely accepted nowadays as a successful tool for bridging the patients with end-stage heart failure to heart transplantation (BTT). The second generations of axial-flow devices, such as the HeartMate II, provide a safe and reliable, as well as an effective hemodynamic support in such patients, offering them an improved quality of life; they are furthermore associated with a very low rate of device malfunction or infection requiring device change. We report here of our first three patients with the implanted HM II LVAS as a BTT .Uređaji za potporu lijevom srcu (LVAS – left ventricular assist system) su danas prihvaćeni kao uspiješno sredstvo za premoštenje bolesnika u završnom stadiju zatajivanja srca do transplantacije. Druga generacija aksijalnih pumpi, kao što je HeartMate II , pruža sigurnu i učinkovitu hemodinamsku potporu takvim bolesnicima, poboljšavajući kvalitetu života. Danas su ti uređaji povezani sa niskom inicidencijom malfunkcije ili infekcije koje bi zahtijevale zamjenu. Prikazujemo naša tri bolesnika kojima je ugrađen HeartMate II LVAS kao premoštenje do transplantacije

RECOVERY AFTER LONGTERM PULSATILE MECHANICAL CIRCULATORY SUPPORT IN PATIENT WITH CHRONIC HEART FAILURE: A CASE REPORT

Mehanička potpora cirkulaciji danas je dio standardne terapije u liječenju završne faze zatajivanja sistoličke funkcije srca. U radu opisujemo karakteristike uređaja Thoratec pVAD za mehaničku potporu cirkulaciji, tehniku ugradnje, kao i najvažnije prednosti i komplikacije primjene uređaja. Prikazujemo slučaj 41-godišnjeg bolesnika s dilatacijskom kardiomiopatijom, kojemu je prvi put u Republici Hrvatskoj zbog zatajivanja srca ugrađen uređaj za parakorporalnu mehaničku potporu lijevom srcu (LVAD), koji je nakon 130 dana potpore odstranjen zbog poboljšanja srčane funkcije.Use of mechanical circulatory support (MCS) is a part of today’s standard therapy in the treatment of end-stage heart failure. In this paper we describe characteristics of Thoratec pVAD device for MCS, implantation techniques, as well as the most important advantages and complications of application of the device. We present a 41-year-old patient with dilatated cardiomyopathy, who was the first recipient of paracorporeal left ventricular assist device (LVAD) in the Republic of Croatia due to end-stage heart failure. After heart function recovery the patient was successfully weaned from MCS after 130 days of support

Oporavak nakon dugotrajne mehaničke cirkulatorne potpore u bolesnika s kroničnim zatajivanjem srca: prikaz bolesnika [Recovery after long-term pulsatile mechanical circulatory support in patient with chronic heart failure: a case report]

Use of mechanical circulatory support (MCS) is a part of today's standard therapy in the treatment of end-stage heart failure. In this paper we describe characteristics of Thoratec pVAD device for MCS, implantation techniques, as well as the most important advantages and complications of application of the device. We present a 41-year-old patient with dilatated cardiomyopathy, who was the first recipient ofparacorporeal left ventricular assist device (LVAD) in the Republic of Croatia due to end-stage heart failure. After heart function recovery the patient was successfully weaned from MCS after 130 days of support