作者
Allan P Goldman, Jane Cassidy, Marc de Leval, Simon Haynes, Katherine Brown, Pauline Whitmore, Gordon Cohen, Victor Tsang, Martin Elliott, Anne Davison, Leslie Hamilton, David Bolton, Jo Wray, Asif Hasan, Rosemary Radley-Smith, Duncan Macrae, Jon Smith
发表日期
2003/12/13
期刊
The Lancet
卷号
362
期号
9400
页码范围
1967-1970
出版商
Elsevier
简介
Background
Although mechanical circulatory support might not increase the number of adults surviving to transplantation, because of the shortage of donor organs, the situation might be different for children. Our aim was to assess the effect of mechanical assist devices to bridge children with end-stage cardiomyopathy to heart transplantation.
Methods
A 5-year retrospective review was undertaken with data from the UK paediatric transplant programme and from bridging to transplant done at two paediatric transplant centres in the UK.
Findings
Between Jan 1, 1998 and Dec 31, 2002, 22 children with end-stage cardiomyopathy, median age 5·7 years (range 1·2−17), were supported by a mechanical assist device as a bridge to first heart transplantation, with a 77% survival rate to hospital discharge. Nine were supported by a paracorporeal ventricular assist device, six received transplantation, five survived to discharge …
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