Four Years of Replacing Ailing Hearts: Surgeons Assess Data, Questions Remain
Cole, Helene M.
JAMA. 1986 Dec 5; 256(21): 2921-2930.
The author reviews the clinical course of those patients in the United States who have received permanent or temporary artificial hearts and presents their physicians' assessments of the failures and successes of the devices. Several transplant surgeons offer their opinions on the controversial issue of the prioritization in selection for a human heart transplant of patients maintained on a temporary artificial heart (bridge-to-transplantation) and on the Food and Drug Administration's criteria for centers permitted to use the bridge-to-transplantation procedure. Cole concludes that, despite the optimism of some investigators, the risks associated with either temporary or permanent artificial hearts may be too great to justify further use. Still unanswered are the public policy issues of payment for these programs and of equitable allocation of donor organs. (KIE abstract)
Artificial Organs; Case Studies; Emergency Care; Evaluation; Federal Government; Food; Government; Government Regulation; Hearts; Hospitals; Investigators; Morbidity; Mortality; Organ Transplantation; Patient Care; Patients; Physicians; Program Descriptions; Public Policy; Regulation; Resource Allocation; Scarcity; Selection of Subjects; Technology; Technology Assessment; Tissue Transplantation; Transplantation;
Showing items related by title, author, creator and subject.