CARDIAC RESYNCHRONIZATION THERAPY OF CHRONIC HEART FAILURE AS «BRIDGE» TO CARDIAC TRANSPLANTATION
https://doi.org/10.15825/1995-1191-2009-4-7-12
Abstract
Cardiac transplantation (CTX) remains the gold standard for treatment of terminal forms of heart failure. Nevertheless, all over the world shortage of donors and postoperative complications leads to search of alternative therapeutic strategy. Cardiac resynchronization therapy is discussed alternative CTX. Besides, now it is not clear, whether it is possible to prevent CRT CTX in long-term prospect. Thus, we aspired to estimate long-term clinical results in the big group of candidates to CTX which have received CRT-systems in Institute of Transplantation last years. In total 70 patients are operated, from them 5 patients in connection with condition deterioration heart transplantation has been executed. The received experience shows that at patients with left ventricular dissinhroniсity, which are in a waiting list to heart transplantation, application of method CRT may to prevent or delay necessity for heart transplantation, or to become a link as «bridge» to transplantation.
About the Authors
D. V. Shumakov
Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
V. V. Slobodyanik
Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
References
1. Трансплантология: Рук. для врачей / Под ред. В.И. Шу- макова. 2006.
2. Беленков Ю.Н., Васюк Ю.А., Галявич А.С. и др. Наци- ональные рекомендации ВНОК И ОССН по диагнос- тике и лечению ХСН (второй пересмотр) // Сердеч- ная недостаточность. 2007.
3. Hunt S.A., 1993; Hunt S.A., Baker D.A. et al. Кардиоре- синхронизирующая терапия в лечении терминальной стадии хронической сердечной недостаточности. 2001.
4. Слободяник В.В., Лукава М.Г., Саитгареев Р.Ш., Шу- маков Д.В. Кардиоресинхронизирующая терапия в лечении терминальной стадии хронической сердеч- ной недостаточности // Вестник трансплантологии и искусственных органов. 2007. No 2. С. 3–7.
5. Cardiac Resynchronization Therapy: Long-Term Alterna- tive to Cardiac Transplantation. September 29, 2008.
6. Prinzen W., Auricchio A. Echocardiography Is Not Use-
7. ful Before Cardiac Resynchronization Therapy if QRS Duration Is Available // Circ Cardiovasc Imaging 2008. No 1. Р. 70–78.
8. Pitzalis M.V., Iacoviello M., Romito R. et al. Cardiac re- synchronization therapy tailored by echocardiographic evaluation of ventricular asynchrony // J Am Coll Car- diol. 2002. Vol. 40. P. 1615–1622.
9. Bax J.J., Ansalone G., Breithardt O.A. et al. Echocardio- graphic evaluation of cardiac resynchronization therapy: ready for routine clinical use? A critical appraisal // J Am Coll Cardiol. 2004. Vol. 44. P. 1–9.
10. Penicka M, Bartunek J, De Bruyne B. et al. Improvement of left ventricular function after cardiac resynchronization therapy is predicted by tissue Doppler imaging echocar- diography // Circulation. 2004. Vol. 109. P. 978 –983.
Review
For citations:
Shumakov D.V., Slobodyanik V.V. CARDIAC RESYNCHRONIZATION THERAPY OF CHRONIC HEART FAILURE AS «BRIDGE» TO CARDIAC TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2009;11(4):7-12. (In Russ.) https://doi.org/10.15825/1995-1191-2009-4-7-12
Views:
1230
Email this article 