The total artificial heart: Where we stand

O. H. Frazier, Robert D. Dowling, Laman A. Gray, Nyma A. Shah, Toni Pool, Igor Gregoric

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

The AbioCor® total artificial heart (TAH) is undergoing clinical feasibility testing as destination therapy in patients with end-stage congestive heart failure. So far, the device has been implanted in 11 of a projected 15 patients. The TAH has performed reliably, providing adequate circulatory support while extending survival and improving quality of life in most recipients. Thromboembolism remains a problem but is being addressed by optimizing device and patient management and refining the anticoagulation protocol. Because the device is totally implantable and requires no penetration of the skin, infection has been minimized. All recipients so far have been men. The device is large and this limits its use in smaller patients (i.e. women, small men and children). A smaller version is being developed. Although it has yet to receive Food and Drug Administration approval, the early clinical results suggest that the AbioCor TAH may become an accepted alternative to heart transplantation for selected patients with end-stage congestive heart failure. Further investigation with regard to its primary clinical applicability, i.e. as a rescue device for sudden catastrophic heart failure, is warranted.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalCardiology
Volume101
Issue number1-3
DOIs
Publication statusPublished - Mar 24 2004

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All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

Cite this

Frazier, O. H., Dowling, R. D., Gray, L. A., Shah, N. A., Pool, T., & Gregoric, I. (2004). The total artificial heart: Where we stand. Cardiology, 101(1-3), 117-121. https://doi.org/10.1159/000075992