The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
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J. Heart Lung Transplant. · Jan 2012
Randomized Controlled Trial Multicenter Study Comparative StudyNeurocognitive function in destination therapy patients receiving continuous-flow vs pulsatile-flow left ventricular assist device support.
The HeartMate II (Thoratec Corp, Pleasanton, CA) continuous-flow left ventricular assist device (LVAD) improved survival in destination therapy (DT) patients during a randomized trial compared with pulsatile-flow LVADs. This study documented changes in cognitive performance in DT patients from that trial to determine if there were differences between continuous-flow and pulsatile-flow support. ⋯ The NC performance of advanced heart failure patients supported with continuous-flow and pulsatile-flow LVADs shows stabilization or improvement during support for up to 24 months.
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J. Heart Lung Transplant. · Jan 2012
Comparative StudyVenovenous extracorporeal membrane oxygenation for acute lung failure in adults.
Acute lung failure (ALF) is an increasing problem that can be treated with venovenous extracorporeal membrane oxygenation (vv-ECMO). This report summarizes prospectively collected data of an institutional experience with vv-ECMO. ⋯ Modern vv-ECMO is an excellent treatment in patients with severe ALF and should be more liberally used.