Long-term support of 9 patients with the DeBakey VAD for more than 200 days Markus J. Wilhelm, MD, Dieter Hammel, MD, Christof Schmid, MD, Andreas Rhode,

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Presentation transcript:

Long-term support of 9 patients with the DeBakey VAD for more than 200 days Markus J. Wilhelm, MD, Dieter Hammel, MD, Christof Schmid, MD, Andreas Rhode, MS, Timo Kaan, MS, Markus Rothenburger, MD, Jörg Stypmann, MD, Michael Schäfers, MD, Christoph Schmidt, MD, Hideo A. Baba, MD, Hans H. Scheld, MD The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 4, Pages 1122-1129 (October 2005) DOI: 10.1016/j.jtcvs.2004.10.029 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Recovery of preoperatively compromised peripheral organ perfusion, as indicated by lactate levels, after implantation of the DeBakey VAD (= day 0). The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1122-1129DOI: (10.1016/j.jtcvs.2004.10.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Left panel (patient 2): hemolysis indicating thrombus formation. After device exchange, cessation of hemolysis was seen. Right panel (patient 7): no clinically relevant hemolysis at any time during support. Data are presented as means ± SD of a 1-month period after implantation. LDH, Lactate dehydrogenase; PFH, plasma free hemoglobin. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1122-1129DOI: (10.1016/j.jtcvs.2004.10.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Renal function during support with the DeBakey VAD, as indicated by serum creatinine (day 0 = implantation). Above (patient 2): recovery of preoperative renal failure. Middle (patient 3): maintenance of normal renal function. Below (patient 5): after initial renal recovery, progressive renal failure occurred in the scenario of multiorgan failure. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1122-1129DOI: (10.1016/j.jtcvs.2004.10.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Recovery of preoperatively compromised liver function, as indicated by serum bilirubin, after implantation of the DeBakey VAD (= day 0). The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1122-1129DOI: (10.1016/j.jtcvs.2004.10.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions