{"id":3154,"date":"2017-12-04T15:00:24","date_gmt":"2017-12-04T06:00:24","guid":{"rendered":"http:\/\/www.med.osaka-u.ac.jp\/eng\/?p=3154"},"modified":"2018-05-08T11:49:45","modified_gmt":"2018-05-08T02:49:45","slug":"successful-cardiogenic-shock-treatment-using-a-percutaneous-left-ventricular-assist-device-2","status":"publish","type":"post","link":"https:\/\/www.med.osaka-u.ac.jp\/eng\/archives\/3154","title":{"rendered":"Successful implantation of heart pump with power cable behind the ear, Japan first!"},"content":{"rendered":"<ul class=\"linkBar clearfix\">\n<li><a href=\"http:\/\/www.med.osaka-u.ac.jp\/archives\/10046\">Text in Japanese<\/a><\/li>\n<\/ul>\n<p>In March 2017, the Cardiovascular Surgery Group at Osaka University successfully implanted a left ventricular assist device with an internal power cable tunneled through the neck to the head in a patient who was ineligible for a cardiac transplantation, destination therapy (DT) trial, a Japan first. The patient was recently discharged.<\/p>\n<p>Under the system to provide medical treatment to end-stage heart failure patients, a group that is ineligible for heart transplantation, in response to their requests, Osaka University Hospital gained the nation\u2019s first approval for its use as a medical device on February 20, 2017.<\/p>\n<p>A group of researchers led by Prof. Yoshiki SAWA implanted a left ventricular assist device with an internal power cable tunneled through the neck to the head in a patient with severe kidney disease who was ineligible for destination therapy (DT) for cardiac transplantation.<\/p>\n<p>Thus far, patients with previous diseases such as irreversible kidney disorder were ineligible for a heart transplant or destination therapy. In addition, in Japan, the use of left ventricular assist device was approved as just a bridge to a heart transplant and was not covered by National Health Insurance. Using this system upon request from a patient, it has become possible to treat the patient ineligible for a heart transplant or destination therapy and use this technique for tunneling the internal power cable through the neck to the head, which is approved overseas, but not in Japan.<\/p>\n<p>Compared to currently approved treatment using an electrical cord connected at an abdominal site, this new method has a low risk of developing infectious diseases due to the power cable behind the ear and is anticipated to improve patients\u2019 quality of life; for example, patients with this new device can soak in a bathtub as most Japanese people do when taking a bath. This method will provide many people with difficult disease such as severe heart failure with a new option of therapy with left ventricular assist devices.<\/p>\n<p class=\"figure\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3155 size-medium\" src=\"http:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/2017\/12\/49ef72b19c9b2addea8db508ca9b00b7-319x400.jpg?_t=1512367168\" alt=\"\" width=\"319\" height=\"400\" srcset=\"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/2017\/12\/49ef72b19c9b2addea8db508ca9b00b7-319x400.jpg 319w, https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/2017\/12\/49ef72b19c9b2addea8db508ca9b00b7.jpg 408w\" sizes=\"(max-width: 319px) 100vw, 319px\" \/><a href=\"http:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/2017\/12\/49ef72b19c9b2addea8db508ca9b00b7.jpg\">\u00a0<span class=\"caption\">Figure : The first patient who received an implantation of a heart pump with a power cable behind the neck (credit: Osaka University)<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Primary Keyword: Medicine\/Health <br \/>Additional Keyword(s): Cardiology, Surgery<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Text in Japanese In March 2017, the Cardiovascular Surgery Group at Osaka University successfully implanted a  [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,12],"tags":[],"_links":{"self":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/posts\/3154"}],"collection":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/comments?post=3154"}],"version-history":[{"count":6,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/posts\/3154\/revisions"}],"predecessor-version":[{"id":3608,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/posts\/3154\/revisions\/3608"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/media\/3158"}],"wp:attachment":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/media?parent=3154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/categories?post=3154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/tags?post=3154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}