Title Labai sunkaus širdies nepakankamo kompleksinis gydymas taikant širdies transplantaciją, asistuojančią kraujotaką ir alternatyvius gydymo metodus /
Translation of Title Heart Transplantation, Circulatory Support and Alternative Methods of Treatment in Complex Management of End-Stage Heart Failure.
Authors Ručinskas, Kęstutis
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Pages 42
Keywords [eng] heart failure ; artificial ventricular assist devices ; intraaortic balloon counterpulsation ; heart transplantation ; destination therapy
Abstract [eng] The experience of treatment of end-stage heart failure cumulated at Vilnius University Cardiovascular Surgery Clinic is provided for habilitation procedure. The experience of intraaortic balloon counterpulsation for the patients suffering from decompensated dilatative cardiomyopathy has been proven. The efficacy of artificial ventricular assist devices as a bridge to transplantation or destination therapy has been evaluated. The role of technical modifications of ventricular assist devices for the outcomes of treatment has been assessed. The impact of assist devices on the immune status of the patient pre- and post-transplantation has also been evaluated. The alternative methods of treatment instead of heart transplantation are reviewed. The original technique of modified maze procedure is proposed; the safety, efficacy and possibilities of combining this technique with other heart operations are assessed. The future trends for treatment of end-stage heart failure are predicted. This study is based on the investigations performed with co-authors during the period since 2001 to 2009. The author has participated directly in all reviewed investigations as the head of the department where patients suffering from end-stage heart failure are being treated and as well as a surgeon. The reports based on the published material have been presented in Lithuania and abroad.
Type Habilitation
Language Lithuanian
Publication date 2009