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Erschienen in: Notfall +  Rettungsmedizin 8/2011

01.12.2011 | Leitthema

Erste Maßnahmen und Verhalten bei Störungen eines Kunstherzsystems

verfasst von: J.K. Vierecke, F. Kaufmann, M. Schweiger, A. Stepanenko, N. Dranishnikov, H. Lehmkuhl, E. Potapov, R. Hetzer, T. Krabatsch

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 8/2011

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Zusammenfassung

Die Implantation von Herzunterstützungssystemen („ventricular assist devices“, VAD) ist mittlerweile eine effektive und anerkannte chirurgische Behandlungsmöglichkeit für Patienten mit terminaler chronischer oder akuter Herzinsuffizienz. In Deutschland leben schätzungsweise ca. 400–600 Patienten mit Herzunterstützungssystemen verschiedener Art in häuslicher Umgebung. Dennoch ist die Unterstützung mit einem Herzunterstützungssystem nicht komplikationsfrei. Eine adäquate Einschätzung von Notfallsituationen durch den Ersthelfenden und die schnelle und richtige Reaktion darauf sind gerade bei Patienten mit Herzunterstützungssystemen von höchster Wichtigkeit. Dieses Leitthema soll einen Überblick über die unterschiedlichen Arten von Herzunterstützungssystemen und Kunstherzsystemen geben und aufzeigen, welche Notfallmaßnahmen sinnvoll und nötig sind.
Literatur
1.
Zurück zum Zitat Pagani FD, Miller LW, Russell SD et al (2009) Extended mechanical circulatory support with a continuous-flow rotary left ventricular assist device. J Am Coll Cardiol 54(4):312–321 PubMedCrossRef Pagani FD, Miller LW, Russell SD et al (2009) Extended mechanical circulatory support with a continuous-flow rotary left ventricular assist device. J Am Coll Cardiol 54(4):312–321 PubMedCrossRef
2.
Zurück zum Zitat John R, Kamdar F, Liao K et al (2008) Improved survival and decreasing incidence of adverse events with the HeartMate II left ventricular assist device as bridge-to-transplant therapy. Ann Thorac Surg 86(4):1227–1234 (discussion 1234–1235) PubMedCrossRef John R, Kamdar F, Liao K et al (2008) Improved survival and decreasing incidence of adverse events with the HeartMate II left ventricular assist device as bridge-to-transplant therapy. Ann Thorac Surg 86(4):1227–1234 (discussion 1234–1235) PubMedCrossRef
3.
Zurück zum Zitat Lietz K, Long JW, Kfoury AG et al (2007) Outcomes of left ventricular assist device implantation as destination therapy in the post-REMATCH era: implications for patient selection. Circulation 116(5):497–505 [Epub 2007 Jul 16] PubMedCrossRef Lietz K, Long JW, Kfoury AG et al (2007) Outcomes of left ventricular assist device implantation as destination therapy in the post-REMATCH era: implications for patient selection. Circulation 116(5):497–505 [Epub 2007 Jul 16] PubMedCrossRef
4.
Zurück zum Zitat Slaughter MS, Meyer AL, Birks EJ (2011) Destination therapy with left ventricular assist devices: patient selection and outcomes. Curr Opin Cardiol 26(3):232–236 PubMedCrossRef Slaughter MS, Meyer AL, Birks EJ (2011) Destination therapy with left ventricular assist devices: patient selection and outcomes. Curr Opin Cardiol 26(3):232–236 PubMedCrossRef
5.
Zurück zum Zitat Rogers JG, Aaronson KD, Boyle AJ et al (2010) Continuous flow left ventricular assist device improves functional capacity and quality of life of advanced heart failure patients. J Am Coll Cardiol 55(17):1826–1834 PubMedCrossRef Rogers JG, Aaronson KD, Boyle AJ et al (2010) Continuous flow left ventricular assist device improves functional capacity and quality of life of advanced heart failure patients. J Am Coll Cardiol 55(17):1826–1834 PubMedCrossRef
6.
Zurück zum Zitat Slaughter MS, Rogers JG, Milano CA et al (2009) Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med 361:2241–2251 PubMedCrossRef Slaughter MS, Rogers JG, Milano CA et al (2009) Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med 361:2241–2251 PubMedCrossRef
7.
Zurück zum Zitat Lahpor J (2009) State of the art: implantable ventricular assist devices. Curr Opin Organ Transplant 1:6 Lahpor J (2009) State of the art: implantable ventricular assist devices. Curr Opin Organ Transplant 1:6
8.
Zurück zum Zitat Miller LW, Pagani FD, Russell SD et al (2007) Use of a continuous-flow device in patients awaiting heart transplantation. N Engl J Med 357:885–896 PubMedCrossRef Miller LW, Pagani FD, Russell SD et al (2007) Use of a continuous-flow device in patients awaiting heart transplantation. N Engl J Med 357:885–896 PubMedCrossRef
9.
Zurück zum Zitat Krabatsch T, Schweiger M, Stepanenko A et al (2011) Mechanical circulatory support-results, developments and trends. J Cardiovasc Transl Res 4(3):332–339 [Epub 2011 Mar 11] PubMedCrossRef Krabatsch T, Schweiger M, Stepanenko A et al (2011) Mechanical circulatory support-results, developments and trends. J Cardiovasc Transl Res 4(3):332–339 [Epub 2011 Mar 11] PubMedCrossRef
10.
Zurück zum Zitat Allen JG, Weiss ES, Schaffer JM et al (2010) Quality of life and functional status in patients surviving 12 months after left ventricular assist device implantation. J Heart Lung Transplant 29:278–285 PubMedCrossRef Allen JG, Weiss ES, Schaffer JM et al (2010) Quality of life and functional status in patients surviving 12 months after left ventricular assist device implantation. J Heart Lung Transplant 29:278–285 PubMedCrossRef
11.
Zurück zum Zitat Potapov E, Stepanenko A, Krabatsch T et al (2011) Managing long-term complications of left ventricular assist device therapy. Curr Opin Cardiol 26(3):237–244 PubMedCrossRef Potapov E, Stepanenko A, Krabatsch T et al (2011) Managing long-term complications of left ventricular assist device therapy. Curr Opin Cardiol 26(3):237–244 PubMedCrossRef
12.
Zurück zum Zitat Pagani FD, Miller LW, Russell SD et al (2009) Extended mechanical circulatory support with a continuous-flow rotary left ventricular assist device. J Am Coll Cardiol 54:312–321 PubMedCrossRef Pagani FD, Miller LW, Russell SD et al (2009) Extended mechanical circulatory support with a continuous-flow rotary left ventricular assist device. J Am Coll Cardiol 54:312–321 PubMedCrossRef
13.
Zurück zum Zitat Crow S, Chen D, Milano C et al (2010) Acquired von Willebrand syndrome in continuous-flow ventricular assist device recipients. Ann Thorac Surg 90:1263–1269 (Article | PDF (587 K) | View Record in Scopus | Cited By in Scopus (6)) PubMedCrossRef Crow S, Chen D, Milano C et al (2010) Acquired von Willebrand syndrome in continuous-flow ventricular assist device recipients. Ann Thorac Surg 90:1263–1269 (Article | PDF (587 K) | View Record in Scopus | Cited By in Scopus (6)) PubMedCrossRef
14.
Zurück zum Zitat Crow S, Milano C, Joyce L et al (2010) Comparative analysis of von Willebrand factor profiles in pulsatile and continuous left ventricular assist device recipients. ASAIO J 56:441–445 (Full Text via CrossRef | View Record in Scopus | Cited By in Scopus (3)) PubMedCrossRef Crow S, Milano C, Joyce L et al (2010) Comparative analysis of von Willebrand factor profiles in pulsatile and continuous left ventricular assist device recipients. ASAIO J 56:441–445 (Full Text via CrossRef | View Record in Scopus | Cited By in Scopus (3)) PubMedCrossRef
15.
Zurück zum Zitat Meyer AL, Malehsa D, Bara C et al (2010) Acquired von Willebrand syndrome in patients with an axial flow left ventricular assist device. Circ Heart Fail 3:675–681 PubMedCrossRef Meyer AL, Malehsa D, Bara C et al (2010) Acquired von Willebrand syndrome in patients with an axial flow left ventricular assist device. Circ Heart Fail 3:675–681 PubMedCrossRef
16.
Zurück zum Zitat Slaughter MS, Pagani FD, Rogers JG et al (2010) Clinical management of continuous-flow left ventricular assist devices in advanced heart failure. J Heart Lung Transplant 29(Suppl):1–39 CrossRef Slaughter MS, Pagani FD, Rogers JG et al (2010) Clinical management of continuous-flow left ventricular assist devices in advanced heart failure. J Heart Lung Transplant 29(Suppl):1–39 CrossRef
17.
Zurück zum Zitat Hetzer R, Hennig E, Mechanische Herzunterstützungssysteme (2010) In: Kramme R (Hrsg) Medizintechnik Verfahren – Systeme – Informationsverarbeitung 4. völlig überarb.Aufl. Springer, Berlin S 607–628 Hetzer R, Hennig E, Mechanische Herzunterstützungssysteme (2010) In: Kramme R (Hrsg) Medizintechnik Verfahren – Systeme – Informationsverarbeitung 4. völlig überarb.Aufl. Springer, Berlin S 607–628
18.
Zurück zum Zitat Hetzer R, Krabatsch T, Stepanenko A et al (2010) Long-term biventricular support with the heartware implantable continuous flow pump. J Heart Lung Transplant 29(7):822–824 [Epub 2010 Apr 22] PubMedCrossRef Hetzer R, Krabatsch T, Stepanenko A et al (2010) Long-term biventricular support with the heartware implantable continuous flow pump. J Heart Lung Transplant 29(7):822–824 [Epub 2010 Apr 22] PubMedCrossRef
19.
Zurück zum Zitat Nolan JP, Soar J, Zideman DA et al (2010) ERC guidelines writing group European Resuscitation Council guidelines for resuscitation 2010 section 1. Executive summary. Resuscitation 81(10):1219–1276 PubMedCrossRef Nolan JP, Soar J, Zideman DA et al (2010) ERC guidelines writing group European Resuscitation Council guidelines for resuscitation 2010 section 1. Executive summary. Resuscitation 81(10):1219–1276 PubMedCrossRef
20.
Zurück zum Zitat Krabatsch T, Schweiger M, Dandel M et al (o J) Is bridge to recovery more likely with pulsatile left ventricular assist devices than with nonpulsatile-flow systems? Krabatsch T, Schweiger M, Dandel M et al (o J) Is bridge to recovery more likely with pulsatile left ventricular assist devices than with nonpulsatile-flow systems?
21.
Zurück zum Zitat Starling RC, Naka Y, Boyle AJ et al (2011) Results of the post-US Food and Drug Administration-approval study with a continuous flow left ventricular assist device as a bridge to heart transplantation: a prospective study using the INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support). J Am Coll Cardiol 57(19):1890–1898 PubMedCrossRef Starling RC, Naka Y, Boyle AJ et al (2011) Results of the post-US Food and Drug Administration-approval study with a continuous flow left ventricular assist device as a bridge to heart transplantation: a prospective study using the INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support). J Am Coll Cardiol 57(19):1890–1898 PubMedCrossRef
22.
Zurück zum Zitat Stone ME, Soong W, Krol M, Reich DL (2002) The anesthetic con- siderations in patients with ventricular assist devices presenting for noncardiac surgery: a review of eight cases. Anesth Analg 95:42–49 PubMedCrossRef Stone ME, Soong W, Krol M, Reich DL (2002) The anesthetic con- siderations in patients with ventricular assist devices presenting for noncardiac surgery: a review of eight cases. Anesth Analg 95:42–49 PubMedCrossRef
23.
Zurück zum Zitat Myers TJ, Bolmers M, Gregoric ID et al (2009) Assessment of arterial blood pressure during support with an axial flow left ventricular assist device. J Heart Lung Transplant 28:423–427 PubMedCrossRef Myers TJ, Bolmers M, Gregoric ID et al (2009) Assessment of arterial blood pressure during support with an axial flow left ventricular assist device. J Heart Lung Transplant 28:423–427 PubMedCrossRef
24.
Zurück zum Zitat Oleyar M, Stone M, Neustein SM (2009) Perioperative manage- ment of a patient with a nonpulsatile left ventricular-assist device presenting for noncardiac surgery. J Cardiothorac Vasc Anesth [published online ahead of print August 18, 2009] doi:10.1053/j.jvca.2009.06.004 Oleyar M, Stone M, Neustein SM (2009) Perioperative manage- ment of a patient with a nonpulsatile left ventricular-assist device presenting for noncardiac surgery. J Cardiothorac Vasc Anesth [published online ahead of print August 18, 2009] doi:10.1053/j.jvca.2009.06.004
25.
Zurück zum Zitat Dang NC, Topkara VK, Mercando M et al (2006) Right heart failure after left ventricular assist device implantation in patients with chronic congestive heart failure. J Heart Lung Transplant 25:1–6 PubMedCrossRef Dang NC, Topkara VK, Mercando M et al (2006) Right heart failure after left ventricular assist device implantation in patients with chronic congestive heart failure. J Heart Lung Transplant 25:1–6 PubMedCrossRef
26.
Zurück zum Zitat Nicolosi AC, Pagel PS (2003) Perioperative considerations in the patient with a LVAD. Anesthesiology 98:565–570 PubMedCrossRef Nicolosi AC, Pagel PS (2003) Perioperative considerations in the patient with a LVAD. Anesthesiology 98:565–570 PubMedCrossRef
27.
Zurück zum Zitat Goldstein DJ, Mullis SL, Delphin ES et al (1995) Noncardiac surgery in long-term implantable left ventricular assist-device recipients. Ann Surg 222:203–207 PubMedCrossRef Goldstein DJ, Mullis SL, Delphin ES et al (1995) Noncardiac surgery in long-term implantable left ventricular assist-device recipients. Ann Surg 222:203–207 PubMedCrossRef
Metadaten
Titel
Erste Maßnahmen und Verhalten bei Störungen eines Kunstherzsystems
verfasst von
J.K. Vierecke
F. Kaufmann
M. Schweiger
A. Stepanenko
N. Dranishnikov
H. Lehmkuhl
E. Potapov
R. Hetzer
T. Krabatsch
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 8/2011
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-011-1454-8

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