How to Treat Stage D Heart Failure? - When to Implant Left Ventricular Assist Devices in the Era of Continuous Flow Pumps? -

被引：48

作者：

Kinugawa, Koichiro ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Cardiovasc Med, Bunkyo Ku, Tokyo 1138655, Japan

来源：

CIRCULATION JOURNAL | 2011年 / 75卷 / 09期

关键词：

Heart failure; Prognosis; Ventricular assist devices; LONG-TERM SUPPORT; CARDIAC-RESYNCHRONIZATION THERAPY; MULTICENTER CLINICAL-EVALUATION; INTERMACS ANNUAL-REPORT; SURVIVAL; DEFIBRILLATOR; DESTINATION; EXPERIENCE; MORTALITY; RISK;

D O I：

10.1253/circj.CJ-11-0621

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The new classification of heart failure in the American College of Cardiology/American Heart Association guidelines includes stage D, which is refractory severe heart failure that does not respond to medical or resynchronization therapy. Among the many treatment strategies for stage D heart failure, only heart transplantation and ventricular assist devices have been established as improving prognosis. With the evolution in the mechanics of ventricular assist devices in recent years, the postoperative prognosis has improved, and less sick patients can now be candidates for these devices. In Japan, 2 continuous flow devices have been approved since April 2011, and now is the best time to consider the indications for their use. (Circ J 2011; 75: 2038-2045)

引用

页码：2038 / 2045

页数：8

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