[HSF] A Bridge that leads to nowhere?

[Tea Acuff]

LVAD's that need RVAD's. Postop 90 year olds that need BiV pacers. Is an extra year or two more valuable to a 50 year old or a 90 year old? 
Tea


----- Original Message ----
From: Ani Anyanwu <anianyanwu at hotmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, November 29, 2006 5:56:28 AM
Subject: Re: [HSF] A Bridge that leads to nowhere?


But Hal that is unfair - how can you compare your elective case with the most moribound of patients having VAD therapy? LVADs placed postcardiotomy are akin to raising the dead - at that stage it is usually far too late. These are usually patients who have suffered, usually by the time the VAD goes in irreversibly, because of a surgical misadventure - are by and large, for all intents and purposes, already dead. I know you guys expect a lot from our VADs but surely asking us to resurrect the dead is going a bit to far?

Ani
  ----- Original Message ----- 
  From: Hgrmd at aol.com<mailto:Hgrmd at aol.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Wednesday, November 29, 2006 5:55 AM
  Subject: Re: [HSF] A Bridge that leads to nowhere?


  Ani,
    I'd take my nonagenarian survival statistics over most LVAD series  that 
  I've read.  Yours may be different, but LVAD's placed for intraop  cardiogenic 
  shock generally have less than a 10-20% one year survival.  Has  this 
  appreciably changed?
  Hal
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