onr:"swepub:oai:DiVA.org:uu-216406"
Sökning: onr:"swepub:oai:DiVA.org:uu-216406" > Cavoaortic shunt im...
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
- Vikholm, PerUppsala universitet,Thoraxkirurgi (författare)
Cavoaortic shunt improves hemodynamics with preserved oxygen delivery in experimental right ventricular failure during left ventricular assist device therapy
- Artikel/kapitelEngelska2014
Förlag, utgivningsår, omfång ...
- Elsevier BV,2014
- printrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:uu-216406
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-216406URI
- https://doi.org/10.1016/j.jtcvs.2013.02.010DOI
Kompletterande språkuppgifter
- Språk:engelska
- Sammanfattning på:engelska
Ingår i deldatabas
- SwePubSwePub
Klassifikation
Anmärkningar
- OBJECTIVE:Right heart failure is a major cause of morbidity and mortality after left ventricular assist device (LVAD) implantation. This study evaluated the approach of a cavoaortic shunt included in the LVAD circuit, which would aim to relieve venous congestion and improve hemodynamics with preserved oxygen delivery during induced right ventricular failure.METHODS:Right ventricular failure was induced by coronary ligation in 10 pigs. An LVAD was implanted and a cavoaortic shunt was created from the right atrium and included in the assist circuit. Hemodynamic measures and blood gas analyses were analyzed. Oxygen delivery and oxygen consumption were estimated.RESULTS:Right atrial pressure decreased from more than 20 mm Hg to 17.2 mm Hg (14.8-18.4) with the LVAD and to 14.1 mm Hg (11.2-15.5) (P < .01) with the LVAD and cavoaortic shunt. Mean arterial pressure increased from 70.9 mm Hg (67.6-79.8) to 81.5 mm Hg (70.8-92.6) (P = .02) with addition of the shunt into the assist circuit. Cardiac output increased from 3.5 L/min (2.6-4.2) to 4.9 L/min (3.5-5.6) (P < .01) with cavoaortic shunting. Oxygen delivery with the cavoaortic shunt was 337 mL/min (±70) as compared with left ventricular assist alone at 258 mL/min (±52) (P < .01). Oxygen consumption was restored during use of the cavoaortic shunt.CONCLUSIONS:A cavoaortic shunt combined with an LVAD during right ventricular failure reduces central venous pressures, increases systemic arterial pressure, and enables increased cardiac output compared with device therapy alone. This was feasible with preserved oxygen delivery.
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Schiller, PetterUppsala universitet,Thoraxkirurgi(Swepub:uu)pesch021 (författare)
- Johansson, JakobUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)jakojoha (författare)
- Hellgren, LailaUppsala universitet,Thoraxkirurgi(Swepub:uu)lahel172 (författare)
- Uppsala universitetThoraxkirurgi (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Journal of Thoracic and Cardiovascular Surgery: Elsevier BV147:2, s. 625-6310022-52231097-685X
Internetlänk
Hitta via bibliotek
- Journal of Thoracic and Cardiovascular Surgery (Sök värdpublikationen i LIBRIS)
Till lärosätets databas
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
Hitta mer i SwePub
- Av författaren/redakt...
- Vikholm, Per
- Schiller, Petter
- Johansson, Jakob
- Hellgren, Laila
- Artiklar i publikationen
- Journal of Thora ...
- Av lärosätet
- Uppsala universitet
Sök utanför SwePub
- Sök vidare i:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - Nationella bibliotekssystem
- LIBRIS.kb.se
