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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 39 - 46 (8page)
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초록· 키워드
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In patients with end-stage left ventricular (LV) heart failure who receive LV assist device (LVAD) implantation, right ventricular (RV) failure represents a possible critical complication that heavily affects morbidity and mortality. Several clinical, laboratory, hemodynamic, and echocardiographic variables have been found to be associated with RV failure occurrence after surgery. Different models and risk scores have been proposed, with poor results. No accordance has ever been reached about RV pre-operative evaluation, and time has come to introduce a standardized systematic protocol for LVAD suitability assessment according to RV function. We analyzed imaging parameters associated with LVAD implantation-related RV failure, in order to identify the minimum number for pre-operative reliable prediction of post-operative RV failure. A few echocardiographic parameters have been identified as the most reliable, or promising, and reproducible tools in this field: free-wall RV longitudinal strain, RV fractional area change, RV sphericity index, and RV ejection fraction with 3D-echocardiography. We propose the Systematic LVAD Implant Eligibility with Non-invasive Assessment protocol–the SIENA protocol–as a new and simple way of pre-operative evaluation of patients candidates to LVAD implantation.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Di Salvo TG / 1995 / Preserved right ventricular ejection fraction predicts exercise capacity and survival in advanced heart failure / J Am Coll Cardiol 25 : 1143 ~ 1153
Farrar DJ / 1997 / Preoperative and postoperative comparison of patients with univentricular and biventricular support with the thoratec ventricular assist device as a bridg
Fitzpatrick JR 3rd / 2008 / Risk score derived from pre-operative data analysis predicts the need for biventricular mechanical circulatory support / J Heart Lung Transplant
Fukamachi K / 1999 / Preoperative risk factors for right ventricular failure after implantable left ventricular assist device insertion / Ann Thorac Surg 68 : 2181 ~ 2184
Gavazzi A / 1997 / Value of right ventricular ejection fraction in predicting short-term prognosis of patients with severe chronic heart failure / J Heart Lung Transplant 16
Farrar DJ / 1997 / Preoperative and postoperative comparison of patients with univentricular and biventricular support with the thoratec ventricular assist device as a bridg
Fitzpatrick JR 3rd / 2008 / Risk score derived from pre-operative data analysis predicts the need for biventricular mechanical circulatory support / J Heart Lung Transplant
Fukamachi K / 1999 / Preoperative risk factors for right ventricular failure after implantable left ventricular assist device insertion / Ann Thorac Surg 68 : 2181 ~ 2184
Gavazzi A / 1997 / Value of right ventricular ejection fraction in predicting short-term prognosis of patients with severe chronic heart failure / J Heart Lung Transplant 16
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