tailieunhanh - SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 7

Kết luận với các năm trước đây báo cáo Registry ngày càng tập trung vào kết quả cuối, bởi vì kết quả sớm cũng đã được mô tả. Với bộ sưu tập của inlbrmation hơn theo dõi rộng rãi, bao gồm cả mức độ hoạt động sau khi cấy ghép, suy giảm miễn dịch, chức năng \ tuyệt vời, và nhập viện tạm thời, | 116 . Hosenpud et al. Figure 44 demonstrates the most common eauses of death after lung transplantation both adult and pediatric at three different time points. Early after transplantation nonspecific graft failure and infection predominate. In the intermediate time interval infection IS the most common cause of death. Late after transplantation infection continues to be sWongly represented but bronchiolitis obliterans results in most deaths after 1 years Conclusions As with the previous year the Registry report IS increasingly focusing on late outcomes because early outcomes have been well described. With the collection of more extensive follow-up information including post-transplantation activity levels immunosuppression graft function and interim hospitalizations the registry has begun and will continue to focus on morbidity after thoracic transplantation. We will also begin correlating pretransplantation and posttransplantation variables to morbid events as well as death. We recognize the efforts of the contributing transplantation centers in submitting high-quality data and thank these transplantation programs for their support and cooperation. 7. Mechanical circulatory support Joe Helou and Robert L. Kormos Introduction Mechanical cardiac assistance had its origins as an offshoot from the development of cardiopulmonary bypass. Early efforts in the design and development of devices were focused on providing support for the body and the heart during periods of recovery from impaired cardiac function following unsuccessful cardiac surgery and or acute myocardial infarction. With the recognition that cardiac replacement was needed for end-stage congestive heart failure research developed along parallel lines with both natur al heart transplantatron and mechanical total artificial heart solutions. Therefore today mechanical circulatory support is used primarily in these two settings a for acute onset of myocardial fatlure that is potentially recoverable .