Experience of ECMO in Primary Graft Dysfunction after Orthotopic Heart Transplantation

Background:Primary graft dysfunction is the main cause of early mortality after heart transplantation. Mechanical circulatory support has been used to treat this syndrome.Objective:Describe the experience with extracorporeal membrane oxygenation to treat post-transplant primary cardiac graft dysfunction.Methods:Between January 2007 and December 2013, a total of 71 orthotopic heart transplantations were performed in patients with advanced heart failure. Eleven (15.5%) of these patients who presented primary graft dysfunction constituted the population of this study. Primary graft dysfunction manifested in our population as failure to wean from cardiopulmonary bypass in six (54.5%) patients, severe hemodynamic instability in the immediate postoperative period with severe cardiac dysfunction in three (27.3%), and cardiac arrest (18.2%). The average ischemia time was 151 ± 82 minutes. Once the diagnosis of primary graft dysfunction was established, we installed a mechanical circulatory support to stabilize the severe hemodynamic condition of the patients and followed their progression longitudinally.Results:The average duration of extracorporeal membrane oxygenation support was 76 ± 47.4 hours (range 32 to 144 hours). Weaning with cardiac recovery was successful in nine (81.8%) patients. However, two patients who presented cardiac recovery did not survive to hospital discharge.Conclusion:Mechanical circulatory support with central extracorporeal membrane oxygenation promoted cardiac recovery within a few days in most patients.

Time- and frequency-domain modeling of passive interconncection structured in field and circuit analysis

PEEC, computational electromagnetics

Robust acoustic and semantic modeling in a telephone-based spoken dialog system

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2009

Design, modeling and fabrication of radio-frequency microelectromechanical switches and coplanar filters

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2010

Modeling of polythermal preferential crystallization

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2010

Transcatheter Aortic Valve Implantation and Morbidity and Mortality-Related Factors: a 5-Year Experience in Brazil

Abstract Background: Transcatheter aortic valve implantation has become an option for high-surgical-risk patients with aortic valve disease. Objective: To evaluate the in-hospital and one-year follow-up outcomes of transcatheter aortic valve implantation. Methods: Prospective cohort study of transcatheter aortic valve implantation cases from July 2009 to February 2015. Analysis of clinical and procedural variables, correlating them with in-hospital and one-year mortality. Results: A total of 136 patients with a mean age of 83 years (80-87) underwent heart valve implantation; of these, 49% were women, 131 (96.3%) had aortic stenosis, one (0.7%) had aortic regurgitation and four (2.9%) had prosthetic valve dysfunction. NYHA functional class was III or IV in 129 cases (94.8%). The baseline orifice area was 0.67 ± 0.17 cm2 and the mean left ventricular-aortic pressure gradient was 47.3±18.2 mmHg, with an STS score of 9.3% (4.8%-22.3%). The prostheses implanted were self-expanding in 97% of cases. Perioperative mortality was 1.5%; 30-day mortality, 5.9%; in-hospital mortality, 8.1%; and one-year mortality, 15.5%. Blood transfusion (relative risk of 54; p = 0.0003) and pulmonary arterial hypertension (relative risk of 5.3; p = 0.036) were predictive of in-hospital mortality. Peak C-reactive protein (relative risk of 1.8; p = 0.013) and blood transfusion (relative risk of 8.3; p = 0.0009) were predictive of 1-year mortality. At 30 days, 97% of patients were in NYHA functional class I/II; at one year, this figure reached 96%. Conclusion: Transcatheter aortic valve implantation was performed with a high success rate and low mortality. Blood transfusion was associated with higher in-hospital and one-year mortality. Peak C-reactive protein was associated with one-year mortality.

Modeling, evaluation and predicting of IT human resources performance

Magdeburg, Univ., Fak. für Informatik, Diss., 2012

Development of methodology for treating pressure waves from explosions accounting for modeling and data uncertainties

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2012

Modeling the AppA/PpsR signal transduction system of rhodobacter sphaeroides

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2012

Mathematical modeling and evolution of signal transduction pathways and networks

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2013

Modeling the inelastic behavior of heat exchangers accounting for fluid-structure interactions

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2013

Modeling of micro- and nanostructures made of films and crystals/fibers arrays

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2013

Micro scale modeling grain boundary damage under creep conditions

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2014

Design, modeling and control of an autonomous field robot for white asparagus harvesting

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2014

Population balance modeling of influenza A virus replication in MDCK cells during vaccine production

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2015