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Batista Procedure

Surgical Procedure

The Batista procedure, also called partial left ventriculectomy, was an experimental cardiac surgery designed to treat end stage dilated cardiomyopathy that had not responded to standard medical therapy, in which a slice of living tissue was removed from an enlarged heart and the remaining beating heart was stitched together to improve the contraction of the left ventricle. Brazilian cardiac surgeon Randas Batista invented the procedure in 1994, initially for patients with non ischemic dilated cardiomyopathy, many of whom had Chagas disease, but later research, particularly at the Cleveland Clinic, found high failure rates, with only 26 percent of patients event free and 60 percent surviving at three years. The procedure is no longer recommended and has been removed from heart failure treatment guidelines in most of the world, though a 2015 review noted some continued success in Japan under strict patient selection.

Facts
Classification
Status
Discontinued or Obsolete 1
Origin Year
1994 2
FAQs

How did the Cleveland Clinic experience change views of the Batista procedure?

It had not lived up to its promise: many patients died or needed assist devices or transplant.

At the Cleveland Clinic, Dr. Randall Starling and colleagues carried out the procedure on 59 patients between May 1996 and December 1997. Their report in the Journal of the American College of Cardiology in December 2000, covered by Medscape, found that the operation had not lived up to its promise. While some positive benefits were seen in survivors, a high percentage of these patients either died or required rescue with left ventricular assist devices or transplant. The researchers concluded that the procedure may result in temporary improvement, but that perioperative failures and the return of heart failure limit its propriety.
Connections

Treats

Source Wikipedia: Batista Procedure Online Reference Encyclopedia Article
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Wikipedia: Batista Procedure Online Reference Encyclopedia Article
Wikipedia
  • main article text, Wikipedia Batista procedure
    The Batista procedure was invented by Brazilian physician and cardiac surgeon Randas Batista in 1994 for use in patients with non-ischemic dilated cardiomyopathy.
  • https://en.wikipedia.org/wiki/Batista_procedure, lead section
    The Batista procedure, also known as a Batista operation or partial left ventriculectomy (PLV), was an experimental heart procedure that proposed the reversal of the effects of remodeling in cases of end-stage dilated cardiomyopathy refractory to conventional medical therapy.
  • Treats: Dilated cardiomyopathy, Lead: treats Dilated cardiomyopathy
    The Batista procedure, also known as a Batista operation or partial left ventriculectomy (PLV), was an experimental heart procedure that proposed the reversal of the effects of remodeling in cases of end-stage dilated cardiomyopathy refractory to conventional medical therapy.
View the Source
Wikidata: Batista Procedure
Wikidata Q4869299, class allow-list match (w-wdresolver-0926)View the Source
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