eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2020
vol. 17
 
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abstract:
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Long-term biventricular circulatory support with POLVAD-MEV paracorporeal pulsatile pumps. Single-centre experience

Tomasz K. Urbanowicz
1
,
Hanna Baszyńska-Wachowiak
1
,
Anna Olasińska-Wiśniewska
1
,
Marcin Misterski
1
,
Sebastian Stefaniak
1
,
Marcin Ligowski
1
,
Marek Jemielity
1

  1. Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland
Kardiochirur Torakochir Pol 2020; 17 (2): 101-104
Online publish date: 2020/07/20
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Introduction
Severe heart failure decompensation requires circulatory mechanical support in emergency situations. Polish paracorporeal pulsatile pumps, POLVAD-MEV, are designed for biventricular end-stage heart dysfunction. To evaluate long-term POLVAD-MEV therapy by multiple pump exchange in patients on a transplant list.

Material and methods
There were 3 patients in INTERMACS level 1 referred for emergency POLVAD-MED implantation due to acute heart failure deterioration. The paracorporeal pulsatile mechanical support was applied due to severe biventricular dysfunction.

Results
They were supported by paracorporeal biventricular POLVAD-MEV pumps for 438, 473 and 394 days until heart transplantation. During the hospitalisation the pumps required multiple pumps exchanges within 29 ±10 (4–49) day intervals.

Conclusions
POLVAD-MEV paracorporeal pulsatile pumps present a safe option for long-term circulatory support in a selected group of patients. Therapy requires pump exchange but enables survival while awaiting a heart transplant.

keywords:

heart failure, BIVAD, POLVAD, heart transplantation

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