Skip to main content

Use of Cardiac Assist Devices as Bridges to Cardiac Transplantation: Review of Current Status and Report of the Texas Heart Institute’s Experience

  • Conference paper

Abstract

With the introduction of the potent and more selective immunosuppressant cyclosporin A (CsA) in the early 1980s [1–3], cardiac transplantation changed from an experimental procedure into an accepted therapeutic modality. Since that time, transplantation has offered the only hope for numerous patients with end-stage heart disease. Donor availability has not kept pace with the growing number of patients awaiting cardiac transplantation, however, and approximately 20% of potential transplant recipients die before a suitable donor can be found [4]. This dilemma has led to a renewed interest in “staged” cardiac replacement, using mechanical circulatory support to sustain these patients during the critical waiting period.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kahan BD (1982) Cyclosporin A: a new advance in transplantation. Texas Heart Inst J 9:253–266

    CAS  Google Scholar 

  2. Cooley DA, Frazier OH, Kahan BD (1982) Cardiac transplantation with the use of cyclosporin A for immunologic suppression. Texas Heart Inst J 9:247–251

    CAS  Google Scholar 

  3. Cooley DA, Frazier OH, Painvin GA et al. (1983) Cardiac and cardiopulmonary transplantation using cyclosporine for immunosuppression: recent Texas Heart Institute experience. Transplant Proc 15(4) (Suppl l):2567–2572

    Google Scholar 

  4. Pae WE, Pierce WS (1986) Combined registry for the clinical use of mechanical ventricular assist pumps and the total artificial heart. J Heart Transplant 5:6–7

    PubMed  CAS  Google Scholar 

  5. Moulopoulos SD, Topaz S, Kolff WJ (1962) Extracorporeal assistance to the circulation and intraaortic balloon pumping. Trans Am Soc Artif Intern Organs 8:85–89

    PubMed  CAS  Google Scholar 

  6. Kantrowitz A, Tjonneland S, Freed PS et al. (1968) Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA 203(2): 135–140

    Article  Google Scholar 

  7. Bolooki H (ed) (1977) Clinical application of intra-aortic balloon pump. Futura, Mount Kisco, NY

    Google Scholar 

  8. Johnson MD, Holub DA, Winston DS et al. (1977) Retrospective analysis of 286 patients requiring circulatory support with the intraaortic balloon pump. Cardiovasc Dis Bull Texas Heart Inst 4:428–440

    Google Scholar 

  9. Igo SR, Hibbs CW, Trono R et al. (1978) Intra-aortic balloon pumping: theory and practice. Experience with 325 patients. Artif Organs 2:249–256

    Article  PubMed  CAS  Google Scholar 

  10. Reemtsma K, Krusin R, Edie R et al. (1978) Cardiac transplantation for patients requiring mechanical circulatory support. N Engl J Med 298:670–671

    Article  PubMed  CAS  Google Scholar 

  11. Urschel CW, Eber L, Forrester J (1970) Alterations of mechanical performance of the ventricle by intraaortic balloon counterpulsation. Am J Cardiol 25:546–551

    Article  PubMed  CAS  Google Scholar 

  12. Isner JM, Cohen SR, Virmani R et al. (1980) Complications of the intraaortic balloon counterpulsation device: clinical and morphologic observations in 45 necropsy patients. Am J Cardiol 45:260–268

    Article  PubMed  CAS  Google Scholar 

  13. Norman JC, Cooley DA, Kahan BD et al. (1978) Total support of the circulation of a patient with postcardiotomy stone-heart syndrome by a partial artificial heart (ALVAD) for 5 days followed by heart and kidney transplantation. Lancet 1:1125–1127

    Article  PubMed  CAS  Google Scholar 

  14. Kletschka HD, Rafferty EH, Olsen DA et al. (1975) Artificial heart. III. Development of efficient atraumatic blood pump. A review of the literature concerning in vitro testing of blood pumps for hemolysis. Minn Med 58:757–781

    PubMed  CAS  Google Scholar 

  15. Dixon CM, Magovern GJ (1982) Evaluation of the Bio-pump for long-term cardiac support without heparinization. J Extracorporeal Tech 14:331–336

    Google Scholar 

  16. Lynch MF, Peterson D, Baker V (1978) Centrifugal blood pumping for open heart surgery. Minn Med 26:72–76

    Google Scholar 

  17. Beckman D, Siderys H (1986) Prolonged left heart bypass with the BioMedicus vortex centrifugal pump. Contemp Surg 29:69–73

    Google Scholar 

  18. Cooley DA, Liotta D, Hallman GL et al. (1969) Orthotopic cardiac prosthesis for two- staged cardiac replacement. Am J Cardiol 24:723–730

    Article  PubMed  CAS  Google Scholar 

  19. Cooley DA, Akutsu T, Norman JC et al. (1981) Total artificial heart in two-staged cardiac transplantation. Cardiovasc Dis Bull Texas Heart Inst 8:305–319

    Google Scholar 

  20. Copeland JG, Levinson MM, Vaughn C et al. (1986) The total artificial heart as a bridge to transplantation. JAMA 256:2991–2995

    Article  PubMed  CAS  Google Scholar 

  21. Pennock JL, Wisman CB, Pierce WS (1982) Mechanical support of the circulation prior to cardiac transplantation. Heart Transplant 1:299–305

    Google Scholar 

  22. DeVries WC (1985) Replacement of the failing heart: role of mechanical support in cardiac transplants. Presented at the American Society for Artificial Internal Organs Meeting, Atlanta, May 1985

    Google Scholar 

  23. Pennock JL, Pierce WS, Campbell DB et al. (1986) Mechanical support of the circulation followed by cardiac transplantation. J Thorac Cardiovasc Surg 92:994–1004

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Frazier, O.H., Cooley, D.A. (1989). Use of Cardiac Assist Devices as Bridges to Cardiac Transplantation: Review of Current Status and Report of the Texas Heart Institute’s Experience. In: Unger, F. (eds) Assisted Circulation 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74404-4_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74404-4_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74406-8

  • Online ISBN: 978-3-642-74404-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics