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  • Title: [Mechanical assistance of circulation. 42 cases].
    Author: Loisance D, Deleuze PH, Mazzucotelli JP, Castanie B, el Sayed AD, Le Besnerais P, Mourtada A, Pouillart F, Benvenuti C, Hillion ML.
    Journal: Presse Med; ; 24(17):794-8. PubMed ID: 7630867.
    Abstract:
    OBJECTIVES: Mechanical circulatory support was proposed in patients in cardiogenic shock, as a bridge to cardiac transplantation or weaning. The aim of the present study is an analysis of the first 42 cases. METHODS: The 42 cases included 31 patients in cardiogenic shock unresponsive to medical therapy, good cardiac transplant candidates, and 11 patients unweanable off ventricular assist, or in shock in the intensive care unit. Results are evaluated in terms of transplantability and hospital survival. RESULTS: Overall success rate is 67%, ranging from 25% in previously transplanted patients to 46% following acute myocardial infarction and 57% in cardiomyopathy. Age and learning curve played a significative role. CONCLUSION: These data suggest that mechanical support improves survival in patients in cardiogenic shock. Earlier implantation should improve the patient outcome.
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