Vol. 23 No. 1 (2019)
CORONARY ARTERY DISEASES

The initial experience of implantation of the left ventricular assist device “Sputnik” at a cardiac surgery center

A. Chernyavskiy
Meshalkin National Medical Research Center, Ministry of Health of Russian Federation, Novosibirsk, Russian Federation
D. Doronin
Meshalkin National Medical Research Center, Ministry of Health of Russian Federation, Novosibirsk, Russian Federation
A. Fomichev
Meshalkin National Medical Research Center, Ministry of Health of Russian Federation, Novosibirsk, Russian Federation
Bio
A. Karaskov
Meshalkin National Medical Research Center, Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

Published 2019-03-09

Keywords

  • heart transplantation,
  • mechanical heart support,
  • terminal heart failure

How to Cite

Chernyavskiy, A., Doronin, D., Fomichev, A., & Karaskov, A. (2019). The initial experience of implantation of the left ventricular assist device “Sputnik” at a cardiac surgery center. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 23(1), 26–32. https://doi.org/10.21688/1681-3472-2019-1-26-32

Abstract

Aim. To assess the initial experience of implantation of the left ventricular assist device Sputnik as a bridge to transplantation.

Methods. The results of the first 11 Sputnik implantations performed at Meshalkin National Medical Research Center (Novosibirsk, Russia) were assessed. The 11 patients (9 men and 2 women) whose results were assessed had severe heart failure and received Sputnik as a bridge to transplantation between May 2013 and June 2018.

Results. The duration of mechanical heart support received using Sputnik ranged from 95 to 470 days (mean = 240 ± 119 days). Seven patients (64%) underwent successful orthotopic heart transplantation at 103–338 days after implantation of the left ventricular bypass system. One patient died from hemorrhagic stroke 1 year after Sputnik implantation, and another died from sudden ventricular fibrillation at home. One patient is currently awaiting heart transplantation.

Conclusion. According to the initial experience, long-term implantation of the left ventricular assist device Sputnik is a highly efficient and reliable approach, and it can be used as a bridge to transplantation in patients with terminal heart failure.

Received 3 September 2018. Revised 26 November 2018. Accepted 30 November 2018.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

References

  1. Rose E.A., Gelijns A.C., Moskowitz A.J., Heitjan D.F., Stevenson L.W., Dembitsky W., Long J.W., Ascheim D.D., Tierney A.R., Levitan R.G., Watson J.T., Meier P., Ronan N.S., Shapiro P.A., Lazar R.M., Miller L.W., Gupta L., Frazier O.H., Desvigne-Nickens P., Oz M.C., Poirier V.L.; Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) Study Group. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-43. PMID: 11794191. https://doi.org/10.1056/NEJMoa012175
  2. Мареев В.Ю., Агеев Ф.Т., Арутюнов Г.П., Коротеев А.В. и др. Национальные рекомендации ОССН, РКО и РНМОТ по диагностике и лечению ХСН (четвертый пересмотр). Сердечная недостаточность. 2013;14(7):379-472. Режим доступа: http://oldlib.ossn.ru/journals/RHFJ/2013/7/ [Mareyev V.Yu., Ageyev F.T., Arutyunov G.P., Koroteev A.V., et al. SEHF, RSC and RSMSIM national guidelines on CHF diagnostics and treatment (fourth revision). Serdechnaya nedostatochnost' = Russian Heart Failure Journal Archive. 2013:14(7):379-472. (In Russ.) Available from: http://lib.rushf.org/journals/RHFJ/2013/7/]
  3. Hoekstra T., Jaarsma T., van Veldhuisen D.J., Hillege H.L., Sanderman R., Lesman-Leegte I. Quality of life and survival in patients with heart failure. Eur J Heart Fail. 2013;15(1):94-102. PMID: 22989869. https://doi.org/10.1093/eurjhf/hfs148
  4. Stewart A.L., Greenfield S., Hays R.D., Wells K., Rogers W.H., Berry S.D., McGlynn E.A., Ware J.E. Jr. Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study. JAMA. 1989;262(7):907-13. PMID: 2754790.
  5. Meyer K., Laederach-Hofmann K. Effects of a comprehensive rehabilitation program on quality of life in patients with chronic heart failure. Prog Cardiovasc Nurs. 2003;18(4):169-76. PMID: 14605517.
  6. Stehlik J., Edwards L.B., Kucheryavaya A.Y., Aurora P, Christie J.D., Kirk R., Dobbels F., Rahmel A.O., Hertz M.I. The registry of the international society for heart and lung transplantation: twenty-seventh official adult heart transplant report 2010. J Heart Lung Transplant. 2010;29(10):1089-103. PMID: 20870164. https://doi.org/10.1016/j.healun.2010.08.007
  7. Dembitsky W. P., Tector A.J., Park S., Moskowitz A.J., Gelijns A.C., Ronan N.S., Piccione W. Jr., Holman W.L., Furukawa S., Weinberg A.D., Heatley G., Poirier V.L., Damme L., Long J.W. Left ventricular assist device performance with long term circulatory support: lessons from the REMATCH trial. Ann Thorac Surg. 2004;78(6):2123-9; discussion 2129-30. PMID: 15561049. https://doi.org/10.1016/j.athoracsur.2004.02.030
  8. Сапельников О.В., Чапурных А.В., Черкашин Д.И., Гришин И.Р., Николаева О.А., Ускач Т.М., Жиров И.В., Терещенко С.Н., Саидова М.А., Акчурин Р.С. Гибридный подход в лечении терминальной сердечной недостаточности в сочетании с нарушениями ритма сердца. Патология кровообращения и кардиохирургия. 2017;21(2):112-117. http://dx.doi.org/10.21688/1681-3472-2017-2-112-117 [Sapelnikov O.V., Chapurnyh A.V., Cherkashin D.I., Grishin I.R., Nikolaeva O.A., Uskach T.M., Zhirov I.V., Tereshenko S.N., Saidova M.A., Akchurin R.S. Hybrid approach to the treatment of patients with severe heart failure and arrhythmia. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2017;21(2):112-117. (In Russ.). http://dx.doi.org/10.21688/1681-3472-2017-2-112-117]
  9. Stevenson L.W., Kormos R.L., Bourge R.C., Gelijns A., Griffith B.P., Hershberger R.E., Hunt S., Kirklin J., Miller L.W., Pae W.E. Jr., Pantalos G., Pennington D.G., Rose E.A., Watson J.T., Willerson J.T., Young J.B., Barr M.L., Costanzo M.R., Desvigne-Nickens P., Feldman A.M., Frazier O.H., Friedman L., Hill J.D., Konstam M.A., McCarthy P.M., Michler R.E., Oz M.C., Rosengard B.R., Sapirstein W., Shanker R., Smith C.R., Starling R.C., Taylor D.O., Wichman A. Mechanical Cardiac Support 2000: current applications and future trial design. J Am Coll Cardiol. 2001;37(1):340-70. PMID: 11153769.
  10. Чернявский А.М., Караськов А.М., Доронин Д.В., Дерягин М.Н., Фомичев А.В. Опыт использования имплантируемой системы механической поддержки сердца “INCOR”. Вестник трансплантологии и искусственных органов. 2013;15(4):84-91. https://doi.org/10.15825/1995-1191-2013-4-84-91 [Cherniavskiy A.M., Karaskov A.M., Doronin D.V., Deryagin M.N., Fomichev A.V. The results of mechanical heart support systems «Incor» implantation. Russian Journal of Transplantology and Artificial Organs. 2013;15(4):84-91. (In Russ.) https://doi.org/10.15825/1995-1191-2013-4-84-91]
  11. Chernyavskiy A.M., Marchenko A.V., Lomivorotov V.V., Doronin D., Alsov S.A., Nesmachnyy A. Left ventricular assist device implantation combined with surgical ventricular reconstruction. Tex Heart Inst J. 2012;39(5):627-9. PMID: 23109754, PMCID: PMC3461662.
  12. Gorlitzer M., Ankermit J., Fiegl N., Meinhart J., Lanzenberger M., Unal K., Dunkler D., Kilo J., Wolner E., Grimm M., Grabenwoeger M. Is the transpulmonary pressure gradient a predictor for mortality after orthotopic cardiac transplantation? Transpl Int. 2005;18(4):390-5. PMID: 15773956. https://doi.org/10.1111/j.1432-2277.2004.00038.x
  13. Russell S.D., Rogers J.G., Milano C.A., Dyke D.B., Pagani F.D., Aranda J.M., Klodell C.T. Jr., Boyle A.J., John R., Chen L., Massey H.T., Farrar D.J., Conte J.V.; HeartMate II Clinical Investigators. Renal and hepatic function improve in advanced heart failure patients during continuous-flow support with the HeartMate II left ventricular assist device. Circulation. 2009;120(23):2352-7. PMID: 19933938. https://doi.org/10.1161/CIRCULATIONAHA.108.814863
  14. Boyle A.J., Russell S.D., Teuteberg J.J., Slaughter M.S., Moazami N., Pagani F.D., Frazier O.H., Heatley G., Farrar D.J., John R. Low thromboembolism and pump thrombosis with the HeartMate II left ventricular assist device: analysis of outpatient anti-coagulation. J Heart Lung Transplant. 2009;28(9):881-7. https://doi.org/10.1016/j.healun.2009.05.01
  15. Holman W.L., Rayburn B.K., McGiffin D.C., Foley B.A., Benza R.L., Bourge R.C., Pinderski L.J., Kirklin J.K. Infection in ventricular assist devices: prevention and treatment. Ann Thorac Surg. 2003;75(6 Suppl):S48-57. PMID: 12820735.