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Early Outcomes With HeartWare HVAD as Bridge to Transplant in Children: A Single Institution Experience

机译:HeartWare HVAD作为儿童移植的桥梁的早期结果:单一机构的经验

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The HeartWare HVAD has been used as a bridge to cardiac transplantation in the pediatric population. We describe outcomes following HeartWare HVAD implantation at a single center. A retrospective chart review was performed of all HeartWare HVAD implants performed at our institution between May 2013 and March 2015. Eight children between the ages of 9 and 17 years underwent HVAD implantation as a bridge to transplant (N = 7 cardiomyopathy, N = 1 complex single ventricle). There was one operative death in the complex single ventricle patient. Seven patients (87%) were successfully bridged to transplant. Median time of support was 24.5 days (range, 6-91 days). All transplanted patients are alive and well at a median follow-up of 448 days. Our results demonstrated that mechanical support with HeartWare HVAD is feasible in patients of varying sizes (from older children to adolescents).
机译:HeartWare HVAD已被用作儿科人群心脏移植的桥梁。我们描述将HeartWare HVAD植入单个中心后的结果。对我们机构在2013年5月至2015年3月间进行的所有HeartWare HVAD植入物进行了回顾性图表审查。8位9至17岁的儿童接受了HVAD植入,以作为移植的桥梁(N = 7心肌病,N = 1复合物)单心室)。复杂的单心室患者有1例手术死亡。 7例患者(87%)成功桥接到移植。支持的中位数时间为24.5天(范围为6-91天)。所有接受移植的患者都还活着,并且平均随访了448天。我们的结果表明,使用HeartWare HVAD进行机械支撑对于大小不一的患者(从大孩子到青少年)都是可行的。

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