Abstract
In Japan, the heart transplantation program is specialized in only three institutions in Osaka and Tokyo. Therefore, a patient must be transferred to these hospitals for extended treatment, regardless of the distance. Trans-portation of the patient with a paracorporeal left ventricular assist system (Toyobo LVAS) is difficult because of its extremely large consumption of electric power. We planned to transfer a patient with a Toyobo LVAS for 600 km, but the patient was not transferred because he had a stroke. In order to find the best transportation method, various possi-bilities are evaluated; special ambulance car, Shinkansen (Super express train), fiexed-wing aircraft, medium-sized helicopter (belonging to private company or public aviation corps), and large helicopter (belonging to the Self-Defense Force). The special ambulance car the medium-sized helicopter may not be able to provide a stable electric power supply. There is a connecting traffic problem with the Shinkansen and the aircraft, depsite their sufficient electric power supply. The large Self-Defense Force helicopter seems to be the best option for us. Some aspects of the logistics and complexity of long-distance transportationare also commented on.
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Jikuya T, Tsutsui T, Shigeta O, Hiramatsu Y, Sakakibara K, Atsumi N, Terada Y, Mitsui T, Kiyota J, Naito K, Mihara K. Problems of transportation of left ventricular assist device recipient for cardiac transplatation (in Japanese). Jpn J Thorac Cardiovasc Surg 2000; 48:177
Matsuwaka R, Matsuda H, Kaneko M, Miyamoto Y, Masai T, Nakatani T, Sasaki E, Frazier OH. Overseas transport of a patient with a extracoporeal left ventricular assist device. Ann Thorac Surg 1995;59:522–523
Reiss N, Banayosy AE, Posival H, Knobl H, Minami K, Korfer R. Transport of hemodynamically unstable patients by a mobile mechanical circulatory support team. Artif Organs 1996;20:959–963
Mestres CA, Sanchez-Martos A, Rodriguez-Ribo A, Davalos R, Galcera J, Fuentes M. Long-distance transportation of patients with a paracorporeal left ventricular assist device. Int J Artif Organs 1982;21:425–428
Hotvedt R, Kristiansen IS, Forde OH, Thoner J, Almdahl SM, Bjorsvik G, Berge L, Magnus AC, Mamen K, Sparr T, Ytre-Arne K. Which groups of patients benefit from helicopter evacuation. Lancet 1996;347:1362–1366
Tayama E, Olsen DB, Ohashi Y, Benkowski R, Morley D, Noon GP, Nose Y, DeBakey ME. The DeBakey ventricular assist device: current status in 1997. Artif Organs 1992;23:1113–1116
Yoshikawa M, Nonaka K, Linneweber J, Kawahito S, Ohtsuka G, Nakata K, Takano T, Sculte-Eistrup S, Glueck J, Schima H, Wolner E, Nose Y. Development of the NEDO implantable ventricular assist device with Gyro centrifugal pump. Artif Organs 2000;24: 459–467
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Tayama, E., Akasu, K., Kashikie, H. et al. Long-distance transportation of patients with a paracorporeal left ventricular assist system. J Artif Organs 4, 237–240 (2001). https://doi.org/10.1007/BF02479900
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DOI: https://doi.org/10.1007/BF02479900